Chan Hee Park, DDS

General Practice Dentistry · Pasadena, CA

Individual Active NPI

NPI number 1811661648

Practice location

1812 Linda Vista Ave
Pasadena, CA 91103-1149
Phone
(213) 703-3481

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NPI record

NPI
1811661648
Entity type
Individual (Type 1)
Enumeration date
August 5, 2021
Last updated
August 5, 2021
Certified
August 5, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 106426 CA

About Dr. Park

Chan Hee Park, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1812 Linda Vista Ave, Pasadena, CA 91103-1149. The NPI number 1811661648 was assigned on August 5, 2021 and the record was last updated on August 5, 2021.

Dr. Park lists a license in the registry: #106426 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Chan Hee Park, DDS?

The NPI number is 1811661648.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (213) 703-3481.

Where is Dr. Park located?

1812 Linda Vista Ave, Pasadena, CA 91103-1149.

What is the taxonomy code for Dr. Park?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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