DR. SUNG WOOK PARK (NPI# 1578088779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578088779 |
| Entity Type | Individual |
| Full Name | DR. SUNG WOOK PARK |
| Credential | DDS |
| Practice Address |
14930 Imperial Hwy Ste D La Mirada CA 90638-2100 |
| Mailing Address |
80 Meander Irvine CA 92620-7362 |
| Practice Telephone | 5627771234 |
| Practice Fax Number | 5627772345 |
| Mailing Telephone | 9095533786 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2020-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 101539 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1579 N D St, San Bernardino, CA 924054742 | 9098891977 | |
| 17827 Colima Rd, City of Industry, CA 917481729 | 6269657888 | |
| 4723 W Main St Ste C, Guadalupe, CA 934341787 | 8053439500 | 8053439500 |
| 20657 Golden Springs Dr Ste 205b, Diamond Bar, CA 917893837 | 9098598800 |
| Street Address |
14930 IMPERIAL HWY STE D |
| City | LA MIRADA |
| State | CA |
| Zip Code | 90638-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518214873 | Alice Phuong Trinh, Dds, Inc | Dentist | 14930 Imperial Hwy Ste D, La Mirada, CA 90638-2100 | 2012-08-06 |
| 1184233538 | Sung Wook Park Dds Inc. | Clinic/Center | 14930 Imperial Hwy Ste D, La Mirada, CA 90638-2100 | 2020-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972144095 | Amanda Connell | Counselor | 13710 La Mirada Blvd., Straight Talk, La Mirada, CA 90638 | 2019-09-30 |
| 1679054894 | James Kim | Occupational Therapist | 11926 La Mirada Blvd., La Mirada, CA 90638 | 2018-08-25 |
| 1780163915 | Complete Spine and Joint Center Inc | Chiropractor | 15112 Rosecrans Ave, La Mirada, CA 90638 | 2018-08-08 |
| 1124520606 | Meredith Narcisse | Counselor | Aegis Treatment Center 14240 Imperial Hwy, La Mirida, CA 90638 | 2018-03-01 |
| 1336685114 | Dorina Hamilton | Counselor | 14240 E. Imperial Hwy., La Mirada, CA 90638 | 2017-01-17 |
| 1497201768 | Blm Pharmacy Inc | Pharmacy | 12675 La Mirada Blvd., Suite 100, La Mirada, CA 90638 | 2016-08-28 |
| 1972954535 | Wendy Tran | Dentist | 12265 La Mirada Blvd, La Mirada, CA 90638 | 2016-06-24 |
| 1962851410 | Amy Bender | Counselor | 14240 Imperial Highway, La Mirada, CA 90638 | 2016-06-06 |
| 1699137430 | Andrea Lauren Smith | Chiropractor | 15651 East Imperial Hwy Ste 100, La Mirada, CA 90638 | 2016-03-22 |
| 1750797098 | Napoleon Tiquia | General Practice | 12049 Hartdale Avenue, La Mirada, CA 90638 | 2014-07-08 |
| Find all providers in zip 90638 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588104343 | Alison Ozaki | Dentist | 14241 Imperial Hwy Ste M, La Mirada, CA 90638-1950 | 2017-02-27 |
| 1801253042 | Andrew Le Nguyen | Dentist | 16208 Ridgeview Ln, La Mirada, CA 90638-3494 | 2016-01-19 |
| 1518214873 | Alice Phuong Trinh, Dds, Inc | Dentist | 14930 Imperial Hwy Ste D, La Mirada, CA 90638-2100 | 2012-08-06 |
| 1508066143 | Greg Ismael Navarrete | Dentist | 12804 La Mirada Blvd, La Mirada, CA 90638-2215 | 2007-07-23 |
| 1902006745 | Luke K. Choi, Dds, Ms, Inc. | Dentist | 15862 Imperial Hwy, La Mirada, CA 90638-2512 | 2007-07-19 |
| 1215156385 | Sharon Han | Dentist | 15088 Imperial Hwy, La Mirada, CA 90638-1301 | 2007-04-25 |
| 1922134600 | Alexander Arceo Vizcarra | Dentist | 14930 Imperial Hwy, Suite D, La Mirada, CA 90638-2100 | 2007-02-26 |
| 1659423226 | Mary H. Patuwo Dds, Inc. | Dentist | 14796 Beach Blvd, La Mirada, CA 90638 | 2007-01-17 |
| 1003996067 | Magdy W Gad | Dentist | 12252 La Mirada Blvd, La Mirada, CA 90638-1306 | 2006-10-16 |
| 1225635600 | Tae Kyun Ha | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2020-10-08 |
| Find all providers in LA MIRADA | ||||
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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.