JI YONG PARK


Address: 100 E Valencia Mesa Dr, Suite 209, Fullerton, CA 92835-3813
Phone: 7148710500

JI YONG PARK (NPI# 1710045463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710045463
Entity Type Individual
Full Name JI YONG PARK
Credential DDS
Practice Address 100 E Valencia Mesa Dr
Suite 209
Fullerton
CA 92835-3813
Practice Telephone 7148710500
Practice Fax Number 7148710510
Mailing Telephone 7148710500
Mailing Fax Number 7148710510
Enumeration Date 2006-12-05
Last Update Date 2008-09-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
44525 CA Dental Providers

Other Providers JI PARK

NPI Name Taxonomy Address Enumeration
1861624405 Ji Eun Park Dentist 25-37 Broadway, Astoria, NY 11106 2009-08-16
1013185958 Ji Yun Park Pharmacist 568-574 W 125th St, New York, NY 10027 2008-02-13
1194848267 Ji Yon Park Pharmacist 476 N 1235 W, Orem, UT 84057-3550 2007-04-06
1174913073 Ji Park Dentist 4500 Parsons Blvd, Flushing, NY 11355-2205 2015-01-29
1669681540 Ji Young Park Acupuncturist 3440 Wilshire Blvd Ste 542, Los Angeles, CA 90010-2127 2007-05-21
1932229358 Ji Hee Park Pharmacist 1350 S Kings Dr, Charlotte, NC 28207-2134 2007-03-30

Office Location

Street Address 100 E VALENCIA MESA DR
SUITE 209
City FULLERTON
State CA
Zip Code 92835-3813

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891795449 Raed Ali Orthopaedic Surgery 100 E Valencia Mesa Dr, Suite 310, Fullerton, CA 92835-3813 2005-07-26
1083088678 Monica Martyn Dietitian, Registered 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 2015-11-19
1972991149 Megan Somerville Wroe Dietitian, Registered 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 2014-12-22
1457750762 Linda Cox Registered Nurse 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 2014-08-22
1952700320 Cynthia Crystal Carrasco-gonzalez Registered Nurse 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 2014-08-21
1548697311 Theodore Pastrana Md., Apc Preferred Provider Organization 100 E Valencia Mesa Dr, Ste. 100, Fullerton, CA 92835-3813 2013-10-10
1831526953 Kathryn V Woeckener Dietitian, Registered 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3813 2013-10-03
1588001267 Ricarda Benz Md, Inc Obstetrics & Gynecology 100 E Valencia Mesa Dr, Suite 215, Fullerton, CA 92835-3813 2013-06-04
1518302777 Gordon Gunn M.d Inc A Medical Corporation Specialist 100 E Valencia Mesa Dr, # 215, Fullerton, CA 92835-3813 2013-05-01
1770831521 Aileen Sabio Estrada Physician Assistant 100 E Valencia Mesa Dr, Suite 310, Fullerton, CA 92835-3813 2012-08-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538774302 Natalie Baugh Nutritionist 333 W Bastanchury Rd 110, Fullerton, CA 92835 2020-09-09
1073127098 Cecile Mae Sam Physical Therapist 2932 Clover Ct, Fullerton, CA 92835 2020-09-08
1861966087 Kimson F Johnston Marriage & Family Therapist 1370 Brea Blvd Suite 210, Fullerton, CA 92835 2019-01-22
1134636327 Michelle Harriman, Psychologist - A Professional Corporation Psychologist 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 2018-01-09
1659818631 Jacqueline Rene Miller Specialist/Technologist 2610 Associated Rd, Apt A4, Fullerton, CA 92835 2017-01-27
1912361106 John Nathaniel Alvarez Psychiatry & Neurology 401 E Imperial Highway, Fullerton, CA 92835 2016-04-13
1083075030 Advance Recovery Solution, LLC Substance Abuse Rehabilitation Facility 3744 N Hermosa Pl, Fullerton, CA 92835 2016-03-17
1467817981 Michele Ledesma Physical Therapy Assistant 2800 N. Harbor Blvd., Fullerton, CA 92835 2015-12-29
1467820571 Jonghan Kang Acupuncturist 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 2015-09-04
1265840987 Allison Leigh Kennedy Physician Assistant 100 Laguna Rd Ste 208, Fullerton, CA 92835 2014-07-25
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437319035 Kiavash Kevin Badii Dentist 1950 Sunny Crest Dr Ste 1100, Fullerton, CA 92835 2008-06-17
1598229635 Esther Kim Lee Dmd Inc. Dentist 1019 N Harbor Blvd, Fullerton, CA 92832-1310 2019-01-23
1669736385 Matthew Macginnis Dentist 333 W Bastanchury Rd, Fullerton, CA 92835-3433 2012-06-27
1134492879 Lauren N. Manfred Dentist 906 W Orangethorpe Ave, Fullerton, CA 92832-2827 2012-02-10
1215168554 Rashid Kamdar Dentist 1332 E Chapman Ave, Fullerton, CA 92831-3954 2009-08-04
1750598769 Consumerhealth, Inc. Dentist 1718 W Orangethorpe Ave, Fullerton, CA 92833-4538 2007-05-17
1093837155 Won Moon Dentist 333 W Bastanchury Rd, #100, Fullerton, CA 92835-3420 2007-04-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861091720 Ellen Im Dds Inc Dentist 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 2020-10-21
1104425370 Jack Bayraymyan Dental Group Inc. Dentist 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 2020-10-20
1669071825 Jack Bayraymyan Dental Group Inc. Dentist 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 2020-10-20
1891394060 Jack Bayraymyan Dental Group Inc. Dentist 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 2020-10-20
1790391209 Two Front Corp Dentist 2408 Grandview Ave, Venice, CA 90291-4938 2020-09-21
1396358453 Bridget Powers Dentist 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 2020-08-28
1144832221 Manjeet Samra Dental Corporation Dentist 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 2020-08-19
1154932150 Jacqueline Morgan Payne Dentist 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 2020-08-12
1922617802 Andrew Levin Dentist 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 2020-07-27
1861001885 Robert Berger Dentist 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 2020-07-26
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Competitor

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City FULLERTON
Zip Code 92835

Improve Information

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Dataset Information

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.

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