DR. JONGGOO PARK (NPI# 1003394313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003394313 |
| Entity Type | Individual |
| Full Name | DR. JONGGOO PARK |
| Credential | DDS |
| Practice Address |
40760 California Oaks Rd Murrieta CA 92562-5791 |
| Practice Telephone | 9516773078 |
| Mailing Telephone | 9516773078 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 102883 | CA | Dental Providers |
| Street Address |
40760 CALIFORNIA OAKS RD |
| City | MURRIETA |
| State | CA |
| Zip Code | 92562-5791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225262371 | Jonathan David Albaugh | Dentist | 40760 California Oaks Rd, Murrieta, CA 92562-5791 | 2009-05-04 |
| 1134789027 | Harun Ayouby | Dentist | 40760 California Oaks Rd, Murrieta, CA 92562-5791 | 2019-06-13 |
| 1205359130 | Nguyen D Tran | Dentist | 40760 California Oaks Rd, Murrieta, CA 92562-5791 | 2017-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
| 1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
| 1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
| 1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
| 1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
| 1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
| 1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
| 1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
| 1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
| 1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
| Find all providers in zip 92562 | ||||
| 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 |
|---|---|---|---|---|
| 1194244566 | Hugo J Partida | Dentist | 25395 Madison Ave Ste 103, Murrieta, CA 92562-9003 | 2017-09-16 |
| 1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
| 1033668355 | Jae H. Kwak | Dentist | 24635 Madison Ave Ste E, Murrieta, CA 92562-7556 | 2016-09-28 |
| 1447522545 | Jeffrey Matthew Wang | Dentist | 25285 Madison Ave #107, Murrieta, CA 92562 | 2012-02-04 |
| 1417242538 | Valerie Ann Scola | Dentist | 25095 Jefferson Ave, #103, Murrieta, CA 92562-9113 | 2011-06-16 |
| 1598067092 | Kiet Tran, Dds Inc. | Dentist | 26636 Margarita Rd Ste 102, C/o Datedental.com, Murrieta, CA 92563-2010 | 2010-12-03 |
| 1104146745 | Kha-my Thi Tran | Dentist | 30476 Mahogany St, Murrieta, CA 92563-3532 | 2010-06-06 |
| 1225262371 | Jonathan David Albaugh | Dentist | 40760 California Oaks Rd, Murrieta, CA 92562-5791 | 2009-05-04 |
| 1184808164 | Anh Quach Dds Dental Corp | Dentist | 39525 Los Alamos Rd Ste D, Murrieta, CA 92563-5027 | 2007-12-26 |
| 1437364098 | Quyen Thuc Tran | Dentist | 26318 Norma Jean Pl, Murrieta, CA 92563-4900 | 2007-05-14 |
| Find all providers in MURRIETA | ||||
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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.