TINA KEUN NAN PARK (NPI# 1407200694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407200694 |
| Entity Type | Individual |
| Full Name | TINA KEUN NAN PARK |
| Credential | D.D.S., M.S. |
| Practice Address |
962 Calle Amable Glendale CA 91208-3062 |
| Practice Telephone | 3233694054 |
| Mailing Telephone | 3233694054 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
63253 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174806772 | Tina Park | Pharmacist | 3 E. Golf Road, Arlington Heights, IL 60005 | 2011-09-21 |
| 1265971048 | Tina Park | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2017-02-14 |
| 1821226101 | Tina Park | Internal Medicine | 622 W 168th St, New York, NY 10032-3720 | 2009-06-25 |
| Street Address |
962 CALLE AMABLE |
| City | GLENDALE |
| State | CA |
| Zip Code | 91208-3062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847431 | Anil Buyruk | Registered Nurse | 1812 Verdugo Blvd Usc Verdugo Hills Hospital, Glendale, CA 91208 | 2020-10-02 |
| 1568003366 | Regal Hospice and Palliative Care Inc | Hospice Care, Community Based | 3430 Ocean Blvd Unit B, Glendale, CA 91208 | 2019-10-02 |
| 1447675202 | Lana Danica Shajanian | Marriage & Family Therapist | 3460 Ocean View Blvd Ste E, Glendale, CA 91208 | 2014-03-03 |
| 1427495811 | Van Nuys Hospice Care, Inc | Hospice Care, Community Based | 1555 North Verdugo Rd., Suite 202, Glendale, CA 91208 | 2013-05-27 |
| 1851636740 | Sabrina Somani | Marriage & Family Therapist | 1809 Verdugo Blvd Ste 260, Glendale, CA 91208 | 2012-12-03 |
| 1144462094 | Marisela Ramirez | Case Manager/Care Coordinator | 5005 Texas St. Ste 203, San Diego, CA 91208 | 2009-03-24 |
| 1164647103 | Robert Young Yum | Anesthesiology | 1922 Caminito Del Pilar, Glendale, CA 91208 | 2007-04-16 |
| 1447372321 | Joseph Aslanyan Dds and Jaqueline Chibarian Dds A Professional Dental | Dentist | 3600 Ocean View, #6, Glendale, CA 91208 | 2007-04-04 |
| 1902959240 | Amalia A Armenta | Internal Medicine | 3600 N Verdugo Rd, Ste 301, Glendale, CA 91208 | 2007-01-19 |
| 1235207572 | Donna D Alderman | General Practice | 1740 Broadview Drive, Glendale, CA 91208 | 2006-12-04 |
| Find all providers in zip 91208 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| 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 related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1134691629 | Hunter Orthodontics Pllc | Dentist | 6525 W Sack Dr Ste 101, Glendale, AZ 85308-7106 | 2018-12-20 |
| 1578038121 | Sun Orthodontics, LLC | Dentist | 4901 W Bell Rd Ste 120, Glendale, AZ 85308-3465 | 2018-10-10 |
| 1609246792 | Ninette Hacopian | Dentist | 1122 Linden Ave, Apt 2, Glendale, CA 91201-1550 | 2015-10-01 |
| 1588082754 | Vina Zinn Saperstein | Dentist | 5750 W Thunderbird Rd Ste H800, Glendale, AZ 85306-4675 | 2014-04-03 |
| 1699019240 | The Orthodontic Studio | Dentist | 3600 N Verdugo Rd Ste 200, Glendale, CA 91208-1258 | 2012-11-20 |
| 1356580963 | Melissa Kim Lee | Dentist | 345 N Kenwood St Apt 206, Glendale, CA 91206-5406 | 2009-02-05 |
| 1992976484 | Armne Kartalian | Dentist | 666 W Lexington Dr, Glendale, CA 91203-1662 | 2008-03-12 |
| 1447442546 | Aurelia Bedard | Dentist | 18555 N 79th Ave Ste A102, Glendale, AZ 85308-8371 | 2007-08-13 |
| 1760672570 | Barton William Conroy | Dentist | 2101 Broadview Dr, Glendale, CA 91208-1313 | 2007-07-27 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.