Jin S Park Dds Pc in Paramount - General Practice

Jin S Park Dds Pc - NPI 1982733770

Jin S Park Dds Pc is a General Practice in Paramount, California. Jin S Park Dds Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jin S Park Dds Pc is 1982733770. The last update date is 2020-08-22.

Jin S Park Dds Pc's current location address is 8428 Alondra Blvd, Paramount, California. You can contact this provider via phone number 5626336566 and fax number 5626333308. The mailing address for Jin S Park Dds Pc is 8428 Alondra Blvd, Paramount, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jin S Park Dds Pc
Address 8428 Alondra Blvd, Paramount, California
Phone Number 5626336566
Fax Number 5626333308
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Park S Jin
Credentials DDS
Telephone Number 5626336566

NPI Number Detail

NPI Number 1982733770
Provider Enumeration Date 2007-03-05
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 8428 Alondra Blvd
City Paramount
State California (CA)
Post Code 907234406
Phone Number 5626336566
Fax Number 5626333308

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 37476
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
B 37476 CA --

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FAQs about Jin S Park Dds Pc

What is the unique provider identifier assigned to Jin S Park Dds Pc?

The Jin S Park Dds Pc has been issued the NPI (National Provider Identifier) 1982733770 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Jin S Park Dds Pc is located?

The Jin S Park Dds Pc is situated at the following address: 8428 Alondra Blvd, Paramount, CA, 907234406.

What is the area of specialization for Jin S Park Dds Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jin S Park Dds Pc is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Jin S Park Dds Pc receive its 1982733770 assignment from the Centers for Medicare & Medicaid Services?

The Jin S Park Dds Pc was assigned its 1982733770 by the Centers for Medicare & Medicaid Services on 2007-03-05.

As of what date were the details pertaining to Jin S Park Dds Pc last refreshed?

The information related to the Jin S Park Dds Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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