SANGHOON PARK, DDS, INC. (NPI# 1770763468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770763468 |
| Entity Type | Organization |
| Organization Name | SANGHOON PARK, DDS, INC. |
| Practice Address |
13031 Kerry St Garden Grove CA 92844-1638 |
| Practice Telephone | 7146892200 |
| Practice Fax Number | 7146899112 |
| Mailing Telephone | 7146892200 |
| Mailing Fax Number | 7146899112 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2010-05-10 |
| Authorized Official Name | DR. SANGHOON PARK (DENTIST/OWNER/PRESIDENT) |
| Authorized Official Telephone | 7146892200 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
54608 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL ID | D54608 | 01 |
| CA | MEDICAL PROVIDER ID | G8961601 | 01 |
| Street Address |
13031 KERRY ST |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92844-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164477378 | James T. Tran | Neurological Surgery | 13031 Kerry St, Garden Grove, CA 92844-1638 | 2006-05-24 |
| 1962900654 | Oc Voice - Ear, Nose and Throat Center, Inc. | Otolaryngology | 13031 Kerry St, Garden Grove, CA 92844-1638 | 2018-01-27 |
| 1902198286 | James T. Tran, Md, Corp. | Neurological Surgery | 13031 Kerry St, Garden Grove, CA 92844-1638 | 2011-05-05 |
| 1205070794 | Amy Mai Nguyen | Otolaryngology | 13031 Kerry St, Garden Grove, CA 92844 | 2009-04-28 |
| 1023268083 | Lee & Kim, Dds, Inc | General Practice | 13031 Kerry St, Garden Grove, CA 92844-1638 | 2008-09-26 |
| 1972628139 | Tai Ha Lee | Dentist | 13031 Kerry St, Garden Grove, CA 92844 | 2007-03-20 |
| 1669580064 | Thuc Bao Thi Tran | Obstetrics & Gynecology | 13031 Kerry St, Garden Grove, CA 92844 | 2006-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346720042 | 4 U Dental | Dentist | 9363 Garden Grove Blvd #3, Garden Grove, CA 92844 | 2018-08-21 |
| 1578057717 | Jennifer Nd Hoang | Optometrist | 8942 Garden Grove Blvd Ste 104, Garden Grove, CA 92844 | 2018-06-20 |
| 1649798612 | Boan Optometry Inc. | Optometrist | 8942 Garden Grove Blvd., Ste 104, Garden Grove, CA 92844 | 2017-08-30 |
| 1811348329 | Dongsam Cho I | Acupuncturist | 8736 Garden Grove Blvd, Garden Grove, CA 92844 | 2016-06-27 |
| 1225417124 | Traci Ngan Le | Registered Nurse | 9191 Westminster Ave Ste 209, Garden Grove, CA 92844 | 2015-05-25 |
| 1932465622 | Dong J. Yoo | Dentist | 8471 Garden Grove Blvd., Garden Grove, CA 92844 | 2012-04-06 |
| 1932470788 | Dang Bao Nguyen | Physician Assistant | 9191 Wesminster Ave, Garden Grove, CA 92844 | 2012-01-24 |
| 1003116013 | In Sook Lim | Acupuncturist | 9796 Garden Grove Blvd, Garden Grove, CA 92844 | 2010-10-25 |
| 1881905339 | Kris Acupuncture, Inc | Acupuncturist | 8322 Garden Grove Bl, Garden Grove, CA 92844 | 2010-06-30 |
| 1346572906 | Myloc Thi Nguyen | Dentist | 13212 Magnolia St #c8, Garden Grove, CA 92844 | 2010-02-08 |
| Find all providers in zip 92844 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558861138 | Vu Bui Dds, Inc | Clinic/Center | 10248 Westminster Ave, Garden Grove, CA 92843-4830 | 2018-02-20 |
| 1093183410 | Gene H Park Dds, Inc | Clinic/Center | 9240 Garden Grove Blvd Ste 1, Garden Grove, CA 92844-1400 | 2015-09-02 |
| 1730467044 | Lourenco Dds. Inc | Clinic/Center | 12112 Brookhurst Street, Suite 1, Garden Grove, CA 92840-2844 | 2011-08-03 |
| 1285762534 | Wai Chu, Dds., Inc | Clinic/Center | 12302 Garden Grove Blvd Ste 2, Garden Grove, CA 92843-1833 | 2007-03-01 |
| 1073656781 | Phil Trinh, Dds.,inc | Clinic/Center | 12302 Garden Grove Blvd Ste 1, Garden Grove, CA 92843-1833 | 2007-02-14 |
| 1205987070 | Hoa Quynh Duong D.d.s. & Yen Hai Duong D.d.s., Inc. | Clinic/Center | 13518 Harbor Blvd, A5, Garden Grove, CA 92843-3838 | 2007-01-16 |
| 1275010704 | Bao-chau Le Nguyen, D.d.s., P.C. | Clinic/Center | 14265 Brookhurst St, Garden Grove, CA 92843-4648 | 2018-07-26 |
| 1679081848 | Thayer Hussein Dds,inc | Clinic/Center | 13872 Harbor Blvd Ste 1a-3, Garden Grove, CA 92843-4041 | 2018-01-22 |
| 1376058123 | Andrade Dental Family, Inc. | Clinic/Center | 5885 Lampson Ave, Garden Grove, CA 92845-2007 | 2017-12-01 |
| 1245742956 | Jun Gyu Park, D.d.s., Inc. | Clinic/Center | 12372 Euclid St, Garden Grove, CA 92840-3308 | 2017-11-03 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92844 |
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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.