Jim Sang Park is a Dentist in Riverside, California. Jim Sang Park practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jim Sang Park is 1912116104. The last update date is 2007-07-08.
Jim Sang Park's current location address is 4710 La Sierra Ave, Riverside, California. You can contact this provider via phone number 9513248180. The mailing address for Jim Sang Park is 4710 La Sierra Ave, Riverside, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jim Sang Park |
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Address | 4710 La Sierra Ave, Riverside, California |
Phone Number | 9513248180 |
Fax Number | |
Sole Proprietor | Y |
Credentials | D.D.S |
NPI Number Detail
NPI Number | 1912116104 |
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Provider Enumeration Date | 2007-05-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4710 La Sierra Ave |
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City | Riverside |
State | California (CA) |
Post Code | 925052726 |
Phone Number | 9513248180 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 47545 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Jim Sang Park by the Centers for Medicare & Medicaid Services?
The Jim Sang Park has been issued the NPI (National Provider Identifier) 1912116104. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jim Sang Park's physical address?
The Jim Sang Park is physically located at 4710 La Sierra Ave, in the city of Riverside, CA, with the postal code 925052726.
What is the area of specialization for Jim Sang Park, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jim Sang Park is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
When did Jim Sang Park receive its 1912116104 assignment?
The Jim Sang Park was assigned its 1912116104 on 2007-05-22, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jim Sang Park, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jim Sang Park, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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