| Caroline Yokota, O.d., A Professional Corporation | |
|
9301 Tampa Ave Space 62 Northridge CA 91324-2503 | |
| (818) 885-7300 | |
| Not Available |
| Full Name | Caroline Yokota, O.d., A Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 9301 Tampa Ave, Northridge, California |
| Authorized Official Name and Position | Caroline Yokota (PRESIDENT) |
| Authorized Official Contact | 8188857300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caroline Yokota, O.d., A Professional Corporation 9301 Tampa Ave Space 62 Northridge CA 91324-2503 Ph: (818) 885-7300 | Caroline Yokota, O.d., A Professional Corporation 9301 Tampa Ave Space 62 Northridge CA 91324-2503 Ph: (818) 885-7300 |
| NPI Number | 1477003911 |
|---|---|
| Provider Enumeration Date | 10/08/2016 |
| Last Update Date | 10/08/2016 |
| Medicare PECOS PAC ID | 0547505356 |
|---|---|
| Medicare Enrollment ID | O20181226001713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477003911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 12222 (California) | Primary |
| Provider Name | Caroline K Yokota |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124140678 PECOS PAC ID: 6103835954 Enrollment ID: I20060406000351 |
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