Sanghoon Park, Dds, Inc. in Garden Grove - Dental
Sanghoon Park, Dds, Inc. - NPI 1770763468
Sanghoon Park, Dds, Inc. is a Dental in Garden Grove, California. Sanghoon Park, Dds, Inc. practices all healthcare services and medical treatments related to Dental. The NPI Number for Sanghoon Park, Dds, Inc. is 1770763468. The last update date is 2010-05-10.
Sanghoon Park, Dds, Inc.'s current location address is 13031 Kerry St, Garden Grove, California. You can contact this provider via phone number 7146892200 and fax number 7146899112. The mailing address for Sanghoon Park, Dds, Inc. is 13031 Kerry St, Garden Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sanghoon Park, Dds, Inc. |
|---|---|
| Address | 13031 Kerry St, Garden Grove, California |
| Phone Number | 7146892200 |
| Fax Number | 7146899112 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST/OW |
|---|---|
| Authorized Official Name | Park Sanghoon |
| Credentials | DDS |
| Telephone Number | 7146892200 |
NPI Number Detail
| NPI Number | 1770763468 |
|---|---|
| Provider Enumeration Date | 2007-11-09 |
| Last Updated Date | 2010-05-10 |
Provider Mailing Address Detail
| Address | 13031 Kerry St |
|---|---|
| City | Garden Grove |
| State | California (CA) |
| Post Code | 928441638 |
| Phone Number | 7146892200 |
| Fax Number | 7146899112 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 54608 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D54608 | CA | MEDICAL ID | |
| G8961601 | CA | MEDICAL PROVIDER ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Sanghoon Park, Dds, Inc. by the Centers for Medicare & Medicaid Services?
The Sanghoon Park, Dds, Inc. has been issued the NPI (National Provider Identifier) 1770763468 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Sanghoon Park, Dds, Inc. is physically located?
The Sanghoon Park, Dds, Inc. is physically situated at the following address: 13031 Kerry St, Garden Grove, CA, 928441638.
What is Sanghoon Park, Dds, Inc.'s area of expertise and its corresponding taxonomy classification?
The Sanghoon Park, Dds, Inc.'s field of specialization is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770763468 to Sanghoon Park, Dds, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1770763468 to Sanghoon Park, Dds, Inc. on 2007-11-09.
As of what date were the Sanghoon Park, Dds, Inc.'s details last updated?
The information pertaining to the Sanghoon Park, Dds, Inc., including its address, specialty, and other details, was most recently updated on 2010-05-10.