DR. WON BO PARK (NPI# 1528139623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528139623 |
| Entity Type | Individual |
| Full Name | DR. WON BO PARK |
| Credential | DDS |
| Practice Address |
3663 W 6th St Ste 110 Los Angeles CA 90020 |
| Mailing Address |
1105 S Euclid St Fullerton CA 92832-2850 |
| Practice Telephone | 2133801767 |
| Practice Fax Number | 2133802419 |
| Mailing Telephone | 7147380304 |
| Mailing Fax Number | 7142138394 |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2018-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
40048 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649533407 | Won Hui Park | Acupuncturist | 3016 30th Dr Fl 2, Astoria, NY 11102-1874 | 2012-06-18 |
| 1114216017 | Won Woo Park | Chiropractor | 318 N Garfield Ave, Suite A 2nd Fl, Monterey Park, CA 91754-1707 | 2011-03-31 |
| 1710219977 | Won Shil Park | Family Medicine | 3093 N Parkway Dr, Fresno, CA 93722-4824 | 2010-02-12 |
| 1396079380 | Won H Park | Surgery | 1850 N Eagle Chase Dr, Hernando, FL 34442-6160 | 2009-09-24 |
| 1932337896 | Won Hee Park | Internal Medicine | 7585 Kitty Hawk, Suite 201, Converse, TX 78109 | 2009-06-30 |
| 1326260969 | Won Kyu Park | Acupuncturist | 2515 41st Ave E Apt 144, Seattle, WA 98112-2518 | 2007-05-03 |
| 1336296508 | Won H Park | Dentist | 29700 Rancho California Rd Ste G5, Temecula, CA 92591-5293 | 2007-01-03 |
| 1902920150 | Won Ho Park | Acupuncturist | 7935 216th St Sw, Suite E, Edmonds, WA 98026 | 2007-03-16 |
| 1851317804 | Won B Park | Psychiatry & Neurology | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2006-07-14 |
| Street Address |
3663 W 6TH ST STE 110 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760906887 | Sherie Park Dds, Inc. | Dentist | 3663 W 6th St Ste 110, Los Angeles, CA 90020-3047 | 2017-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948048 | Edwina Antoinette Hunter | Community Health Worker | 550 S. Vermont Ave, 6th Floor, Los Angeles, CA 90020 | 2017-08-22 |
| 1639520661 | Jacqueline Carrasco | Counselor | 550 South Vermont Ave, 10th Floor, Los Angeles, CA 90020 | 2016-06-30 |
| 1649630914 | Hee Seung Lee | Marriage & Family Therapist | 3727 W. 6th Street, Suite 507, Los Angeles, CA 90020 | 2016-03-01 |
| 1134596273 | Jocelyn Marie Lee | Optometrist | 3750 W 6th St Ste 113, Los Angeles, CA 90020 | 2015-08-24 |
| 1316327075 | Lourdes Encarnacion Araujo | Social Worker | 550 S Vermont Ave 3rd Floor, Los Angeles, CA 90020 | 2015-06-08 |
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| 1538566047 | Calvin A. Kim | Internal Medicine | 4220 W 3rd St Ste 201, Los Angeles, CA 90020 | 2014-11-26 |
| 1093115792 | John Abaya | Counselor | 550 S Vermont Ave 10th Floor, Los Angeles, CA 90020 | 2014-08-29 |
| 1528494481 | Sung Eun Lee | Acupuncturist | 340 S New Hampshire Ave #211, Los Angeles, CA 90020 | 2013-09-23 |
| 1861836587 | Robert Lee Smalls Jr. | Marriage & Family Therapist | 550 South Vermont Avenue, Juvenile Justice Transition Aftercare Services Division, Los Angeles, CA 90020 | 2013-04-24 |
| Find all providers in zip 90020 | ||||
| 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 |
|---|---|---|---|---|
| 1295349082 | Reza Mehr | Dentist | 900 W Temple St Apt 506, Los Angeles, CA 90012-4551 | 2020-08-31 |
| 1396355590 | Kamyar Moradian | Dentist | 9201 Venice Blvd, Los Angeles, CA 90034-3324 | 2020-08-04 |
| 1669096160 | Leora H Sheily Dds PC | Dentist | 4852 Melrose Ave, Los Angeles, CA 90029-3736 | 2020-06-01 |
| 1013539535 | Smit Dangaria Dds Phd Inc | Dentist | 1325 S Harvard Blvd, Los Angeles, CA 90006-4229 | 2020-05-07 |
| 1912530585 | Sara Bahri Sabokpey | Dentist | 2001 Stradella Rd, Los Angeles, CA 90077-2322 | 2020-02-21 |
| 1518504497 | Jonathan Dye | Dentist | 1626 Palo Alto St Apt 102, Los Angeles, CA 90026-5052 | 2019-12-10 |
| 1972147940 | Catherine Margary Cuaco Begazo | Dentist | 100 S Doheny Dr Apt 209, Los Angeles, CA 90048-2926 | 2019-11-03 |
| 1386285427 | Jefferson Dental Corporation | Dentist | 12013 Wilshire Blvd, Los Angeles, CA 90025-1201 | 2019-09-30 |
| 1043868698 | Semyon Segal | Dentist | 2815 W Sunset Blvd Ste 106, Los Angeles, CA 90026-2168 | 2019-08-27 |
| 1144875592 | Jay Singh | Dentist | 11346 Iowa Ave Apt 203, Los Angeles, CA 90025-6085 | 2019-08-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90020 |
Please comment or provide details below to improve the information on DR. WON BO PARK.
| 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.