Healthcare Provider Details

I. General information

NPI: 1255153730
Provider Name (Legal Business Name): AYHAN YORUK MD A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 PATRIOT DR STE 201
MOORPARK CA
93021-3405
US

IV. Provider business mailing address

PO BOX 7263
WESTLAKE VILLAGE CA
91359-7263
US

V. Phone/Fax

Practice location:
  • Phone: 805-768-4198
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AYHAN YORUK
Title or Position: PRESIDENT
Credential: MD
Phone: 585-275-2222