MEDICARE: RICHARD H. YOOK, M.D, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	G24712	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	G24712	OTHER	CA	MEDICARE ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225225238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD H. YOOK, M.D, INC.

Provider Business Mailing Address
First Line	:	18137 PARTHENIA ST # A
Second Line	:
City	:	NORTHRIDGE
State	:	CA
Zip	:	91325-3301
Country	:	US
Telephone Number	:	818-993-5410
Fax Number	:	818-993-8300

Provider Business Practice Location Address
First Line	:	18137 PARTHENIA ST # A
Second Line	:
City	:	NORTHRIDGE
State	:	CA
Zip	:	91325-3301
Country	:	US
Telephone Number	:	818-993-5410
Fax Number	:	818-993-8300

Authorized Official
Title or Position	:	CEO
Name	:	DR. CHEE HIAN TAN
Credential	:	M.D.
Telephone Number	:	818-993-5410

Provider Enumeration Date	:	10/03/2007
Last Update Date	:	03/19/2025

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