Sung Wook Park, DDS

Dentist · La Mirada, CA

Individual Active NPI

NPI number 1578088779

Practice location

14930 Imperial Hwy Ste D
La Mirada, CA 90638-2100
Phone
(562) 777-1234
Fax
(562) 777-2345

Open in Google Maps

NPI record

NPI
1578088779
Entity type
Individual (Type 1)
Enumeration date
August 8, 2017
Last updated
August 16, 2020
Certified
August 16, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 101539 CA

Mailing address

80 Meander
Irvine, CA 92620-7362
Phone
(909) 553-3786

Other practice locations (1)

  • 1579 N D St, San Bernardino, CA 92405-4742 · (909) 889-1977

About Dr. Park

Sung Wook Park, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 14930 Imperial Hwy Ste D, La Mirada, CA 90638-2100. The NPI number 1578088779 was assigned on August 8, 2017 and the record was last updated on August 16, 2020.

Dr. Park lists a license in the registry: #101539 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sung Wook Park, DDS?

The NPI number is 1578088779.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (562) 777-1234.

Where is Dr. Park located?

14930 Imperial Hwy Ste D, La Mirada, CA 90638-2100.

What is the taxonomy code for Dr. Park?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in La Mirada

All Dentist providers in La Mirada, CA →