TIMOTHY C PARK (NPI# 1942832308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942832308 |
| Entity Type | Individual |
| Full Name | TIMOTHY C PARK |
| Credential | DDS |
| Practice Address |
2135 Cypress Ave Los Angeles CA 90065-1212 |
| Mailing Address |
1027 Loma Vista Pl Fullerton CA 92833-2080 |
| Practice Telephone | 3232230731 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DDS105080 | CA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1842 W Lincoln Ave Ste D, Anaheim, CA 928015489 | 7149568221 | |
| 906 N Vermont Ave, Los Angeles, CA 900293519 | 3235223382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932494655 | Timothy Park | Surgery | 2051 Maregno St, Ipt, C5l100, Los Angeles, CA 90033 | 2011-06-09 |
| 1487210084 | Timothy Park | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2019-05-20 |
| 1841602315 | Timothy D Park | Family Medicine | 801 Seneca St, Ventura, CA 93001-1411 | 2014-06-02 |
| 1508043977 | Timothy Park | Pharmacist | 598 Merrick Rd, Rockville Ctr, NY 11570-5445 | 2008-01-28 |
| Street Address |
2135 CYPRESS AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90065-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679505077 | Dipti Dipak Achhnani | Dentist | 2135 Cypress Ave, Los Angeles, CA 90065-1212 | 2006-07-07 |
| 1427670603 | Kwang S. Kim Dds, Inc | Clinic/Center | 2135 Cypress Ave, Los Angeles, CA 90065-1212 | 2020-05-11 |
| 1861916900 | Cypress Dental Clinic | Clinic/Center | 2135 Cypress Ave, Los Angeles, CA 90065-1212 | 2017-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134613177 | Carmela Hermann Dietrich | Massage Therapist | 546 Frontenac Avenue, Los Angeles, CA 90065 | 2018-06-21 |
| 1245421981 | Kerry Glen Thorne | Marriage & Family Therapist | 3374 Scarboro St, Los Angeles, CA 90065 | 2007-08-07 |
| 1275654311 | Cal Care Ambulance Service | Ambulance | 2829 N. San Fernando Rd #203, Los Angeles, CA 90065 | 2007-04-03 |
| 1053430116 | Feliza Perez | Rehabilitation Practitioner | 2677 1/2 202 Ave, Huntington Park, CA 90065 | 2007-03-28 |
| 1154475382 | Grace O Serrano | Dentist | 4146 Verdugo Rd, Los Angeles, CA 90065 | 2007-01-23 |
| 1265532519 | Dae H Song | Dentist | 3129 San Fernando Rd, Los Angeles, CA 90065 | 2006-09-25 |
| 1730289737 | Calox Inc | Durable Medical Equipment & Medical Supplies | 3034 Fierro Street, Los Angeles, CA 90065 | 2006-09-22 |
| 1093224131 | Andre Marderosian | Dentist | 3129 N San Fernando Rd, Los Angeles, CA 90065 | 2017-09-20 |
| 1710345491 | Golden Van Rides Inc. | Non-emergency Medical Transport (VAN) | 3920 Eagle Rock Blvd, Suite C, Los Angeles, CA 90065 | 2016-02-09 |
| 1841467396 | Highland Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2648 N Figueroa St, Los Angeles, CA 90065-1026 | 2008-05-14 |
| Find all providers in zip 90065 | ||||
| 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 | 90065 |
Please comment or provide details below to improve the information on TIMOTHY C 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.