Renee Yoosun Park is a Dentist in San Diego, California. Renee Yoosun Park practices all healthcare services and medical treatments related to Dentist. The NPI Number for Renee Yoosun Park is 1073526794. The last update date is 2014-04-22.
Renee Yoosun Park's current location address is 10255 Black Mountain Rd, San Diego, California. You can contact this provider via phone number 5102902260. The mailing address for Renee Yoosun Park is 10255 Black Mountain Rd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renee Yoosun Park |
|---|---|
| Address | 10255 Black Mountain Rd, San Diego, California |
| Phone Number | 5102902260 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1073526794 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2014-04-22 |
Provider Mailing Address Detail
| Address | 10255 Black Mountain Rd |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921263866 |
| Phone Number | 5102902260 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 54005 |
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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 10-digit identification code assigned to Renee Yoosun Park by the Centers for Medicare & Medicaid Services?
The Renee Yoosun Park has been issued the NPI (National Provider Identifier) 1073526794, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Renee Yoosun Park?
The Renee Yoosun Park is situated at 10255 Black Mountain Rd, in the city of San Diego, state of CA, with the zip code 921263866.
What is Renee Yoosun Park's area of expertise and its corresponding taxonomy classification?
The Renee Yoosun Park's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Renee Yoosun Park receive its 1073526794 assignment from the Centers for Medicare & Medicaid Services?
The Renee Yoosun Park was assigned its 1073526794 by the Centers for Medicare & Medicaid Services on 2006-08-14.
As of what date was the information regarding Renee Yoosun Park, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Renee Yoosun Park, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-04-22.