Jin Park Dds, Inc in Los Angeles - Orthodontics And Dentofacial Orthopedics
Jin Park Dds, Inc - NPI 1255453668
Jin Park Dds, Inc is a Orthodontics And Dentofacial Orthopedics in Los Angeles, California. Jin Park Dds, Inc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jin Park Dds, Inc is 1255453668. The last update date is 2012-05-31.
Jin Park Dds, Inc's current location address is 2727 W Olympic Blvd, Los Angeles, California. You can contact this provider via phone number 2133858000. The mailing address for Jin Park Dds, Inc is 2727 W Olympic Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jin Park Dds, Inc |
|---|---|
| Address | 2727 W Olympic Blvd, Los Angeles, California |
| Phone Number | 2133858000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Park Jin |
| Telephone Number | 2133858000 |
NPI Number Detail
| NPI Number | 1255453668 |
|---|---|
| Provider Enumeration Date | 2007-04-05 |
| Last Updated Date | 2012-05-31 |
Provider Mailing Address Detail
| Address | 2727 W Olympic Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900062637 |
| Phone Number | 2133858000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 47406 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D47406 | CA | -- | |
| 47406 | CA | CA CHILDREN'S SERVICES |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jin Park Dds, Inc by the Centers for Medicare & Medicaid Services?
The Jin Park Dds, Inc has been assigned the NPI (National Provider Identifier) 1255453668 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Jin Park Dds, Inc is geographically located?
The Jin Park Dds, Inc is physically situated at the following location: 2727 W Olympic Blvd, Los Angeles, CA, 900062637.
What is Jin Park Dds, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jin Park Dds, Inc's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1255453668 to Jin Park Dds, Inc?
The Jin Park Dds, Inc received its 1255453668 assignment from the Centers for Medicare & Medicaid Services on 2007-04-05.
As of what date were the details pertaining to Jin Park Dds, Inc last refreshed?
The information related to the Jin Park Dds, Inc, including its address, specialty, and other relevant details, was last updated on 2012-05-31.
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