Individual
DR. HENRY Y MOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1321 COTTONWOOD ST, SUITE 203, WOODLAND, CA 95695-5131
(530) 666-1631
Mailing address
1321 COTTONWOOD ST, SUITE 203, WOODLAND, CA 95695-5131
(530) 666-1631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A29767
CA
207RG0100X
Gastroenterology Physician
Primary
A29767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A297670
BLUE SHIELD
CA
05
—
00A297670
—
CA
01
—
100008465
RR MEDICARE
AR
Enumeration date
07/15/2006
Last updated
03/03/2011
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