Individual
DR. YIH JEN KOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 W VALLEY BLVD, SAN GABRIEL, CA 91776-3731
(626) 308-3800
(626) 308-1899
Mailing address
506 W VALLEY BLVD, SAN GABRIEL, CA 91776-3731
(626) 308-3800
(626) 308-1899
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A71806
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A718060
BLUE SHIELD OF CA
CA
05
—
00A718060
—
CA
01
—
11549078
CAQH
CA
01
—
RHC148914
FLOURO/XRAY SUPERVISOR
CA
Enumeration date
03/29/2006
Last updated
05/07/2008
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