DR. KWANG SEO PARK (NPI# 1457486086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457486086 |
| Entity Type | Individual |
| Full Name | DR. KWANG SEO PARK |
| Credential | D.D.S. |
| Practice Address |
3023 Bunker Hill St Ste 101 San Diego CA 92109-5706 |
| Practice Telephone | 8582701400 |
| Practice Fax Number | 8582701424 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2009-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
49384 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770766776 | Kwang Hee Park | Acupuncturist | 522 E Orange Grove Blvd, Pasadena, CA 91104-4351 | 2007-12-12 |
| 1396836847 | Kwang Se Park | Family Medicine | 7308 N Main St, Jacksonville, FL 32208-4124 | 2006-09-28 |
| 1043591258 | Kwang H Park | Pharmacist | 3513 N Market St, Wilmington, DE 19802-2733 | 2011-09-01 |
| 1215078365 | Kwang Kyv Park | Dentist | 1834 S State St, Orem, UT 84097-8109 | 2007-02-10 |
| 1942385471 | Kwang Soo Park | Psychiatry & Neurology | 1224 Vine St, Los Angeles, CA 90038-1612 | 2006-10-25 |
| Street Address |
3023 BUNKER HILL ST STE 101 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92109-5706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588997951 | Kwang S. Park, Dds, Inc. | Dentist | 3023 Bunker Hill St Ste 101, San Diego, CA 92109-5706 | 2009-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982113874 | Holly Mansur | Registered Nurse | 3663 Jewell Street, San Diego, CA 92109 | 2017-09-24 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1689113524 | Tyler Marquis | Pharmacist | 2636 Grand Avenue Apartment 326, San Diego, CA 92109 | 2017-02-13 |
| 1912372574 | Lonnie Butler | Doula | 841 Turquoise Street, F-405, San Diego, CA 92109 | 2015-12-08 |
| 1275924995 | Pratima S. Gowdar, Dds, Inc | Dentist | 4655 Cass St. Ste 104, San Diego, CA 92109 | 2015-02-17 |
| 1417388562 | Pacific Rim Pathology Medical Corporation | Clinical Medical Laboratory | 3030 Bunker Hill Street, Suite 201, San Diego, CA 92109 | 2013-11-27 |
| 1023379997 | Eric Berquist | Student in an Organized Health Care Education/Training Program | 2009 Reed Ave, San Diego, CA 92109 | 2012-06-06 |
| 1982996724 | Miramar Health Physicians Group | Acupuncturist | 1321 Garnet Avenue, San Diego, CA 92109 | 2011-05-12 |
| 1902109325 | Anna N Amagou | Behavioral Analyst | 2221 Felspar Street Apt #c, San Diego, CA 92109 | 2010-12-07 |
| Find all providers in zip 92109 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1831797489 | Lily Neskin | Dentist | 4454 Shorepointe Way, San Diego, CA 92130-8635 | 2020-10-15 |
| 1487251294 | Zeki Abdulaali | Dentist | 1501 India St Unit 607, San Diego, CA 92101-2449 | 2020-10-05 |
| 1629681895 | Elizabeth Rodriguez | Dentist | 14701 Via Bettona Ste 215, San Diego, CA 92127-4808 | 2020-08-27 |
| 1679183602 | Hayat Fahliogullari-smith | Dentist | 1281 9th Ave Unit 1309, San Diego, CA 92101-4655 | 2020-08-04 |
| 1235768631 | Virgnia Padua Mattson D.m.d. | Dentist | 11717 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2419 | 2020-04-07 |
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1215568043 | Hage Dental Corporation | Dentist | 3365 Rosecrans St Ste C, San Diego, CA 92110-4256 | 2020-01-30 |
| 1275174310 | Yige Zhao Dental Corporation | Dentist | 9840 Carmel Mountain Rd, San Diego, CA 92129-2812 | 2019-09-30 |
| 1083255111 | Wayne David Gonzales | Dentist | 8031 Linda Vista Rd # 210, San Diego, CA 92111-5110 | 2019-09-30 |
| Find all providers in SAN DIEGO | ||||
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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.