Sung Wook Park (NPI# 1578088779, PAC ID# 8527321827) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1578088779 |
| PAC ID by PECOS | 8527321827 |
| Professional Enrollment ID | I20180419002742 |
| Full Name | Sung Wook Park |
| Organization Legal Name | JIN JIN DENTAL INC |
| Address |
9681 Garden Grove Blvd Suite 104 Garden Grove CA 92844-1548 |
| Phone Number | 7145398275 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY |
| Graduation Year | 2017 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 8820359698 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9681 Garden Grove Blvd, Suite 104, Garden Grove, CA 92844-1548 | 7145398275 | JIN JIN DENTAL INC |
| Organization Legal Name | JIN JIN DENTAL INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daeuk Kim | Oral Surgery | Jin Jin Dental Inc | 9681 Garden Grove Blvd, Suite 104, Garden Grove, CA 92844-1548 |
| Street Address |
9681 GARDEN GROVE BLVD SUITE 104 |
| City | GARDEN GROVE |
| State | CA |
| Zip | 92844-1548 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daeuk Kim | Oral Surgery | Jin Jin Dental Inc | 9681 Garden Grove Blvd, Suite 104, Garden Grove, CA 92844-1548 |
| Sharon S Baek | Chiropractic | 9681 Garden Grove Blvd, Suite 102, Garden Grove, CA 92844-1545 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dong Joon Yoon | Chiropractic | 8281 Garden Grove Blvd, Suite C, Garden Grove, CA 92844-1082 | |
| William L Ngo | General Practice | 8342 Garden Grove Blvd, Suite 5, Garden Grove, CA 92844-1151 | |
| Dae-choong Kim | Internal Medicine | 8862 Garden Grove Blvd, Suite 102, Garden Grove, CA 92844-1212 | |
| Theodore H Kwon | General Practice | 9042 Garden Grove Blvd, Suite 299, Garden Grove, CA 92844-1370 | |
| Steven S Yoo | Optometry | 9042 Garden Grove Blvd, Suite 110, Garden Grove, CA 92844-1370 | |
| Seon Hoon S Kim | Chiropractic | 9240 Garden Grove Blvd, Suite 2, Garden Grove, CA 92844-1400 | |
| Douglas G Lee | Oral Surgery | 9432 Garden Grove Blvd, Garden Grove, CA 92844-1453 | |
| Eun I Shin | Obstetrics/gynecology | 9535 Garden Grove Blvd, Suite 104, Garden Grove, CA 92844-1551 | |
| Yong Lee | Family Medicine | 9535 Garden Grove Blvd, Suite 102, Garden Grove, CA 92844-1551 | |
| Jae Man M Park | Internal Medicine | 9535 Garden Grove Blvd, Suite 102, Garden Grove, CA 92844-1551 | |
| Find all physicians in zip 92844 | |||
| City | GARDEN GROVE |
| Zip Code | 92844 |
| Specialty | ORAL SURGERY |
| City + Specialty | GARDEN GROVE + ORAL SURGERY |
Please comment or provide details below to improve the information on Sung Wook Park.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.