JIN PARK DDS, INC (NPI# 1255453668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255453668 |
| Entity Type | Organization |
| Organization Name | JIN PARK DDS, INC |
| Practice Address |
2727 W Olympic Blvd 301 Los Angeles CA 90006-2637 |
| Practice Telephone | 2133858000 |
| Mailing Telephone | 2133858000 |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2012-05-31 |
| Authorized Official Name | JIN PARK (CEO) |
| Authorized Official Telephone | 2133858000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
47406 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | D47406 | 05 | |
| CA | CA CHILDREN'S SERVICES | 47406 | 01 |
| Street Address |
2727 W OLYMPIC BLVD 301 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90006-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871520601 | Sunmin Park | Ophthalmology | 2727 W Olympic Blvd, Suite 313, Los Angeles, CA 90006-2637 | 2006-06-27 |
| 1508278797 | Dr. Hansung Bryan Kim, Dds Inc. | Clinic/Center | 2727 W Olympic Blvd, Ste 311, Los Angeles, CA 90006-2637 | 2014-05-22 |
| 1164857256 | Joseph H Park Md Inc | Internal Medicine | 2727 W Olympic Blvd, Suite 113, Los Angeles, CA 90006-2637 | 2013-09-07 |
| 1093150534 | Suk B Hong Chiropractic Inc | Chiropractor | 2727 W Olympic Blvd, Suite 207, Los Angeles, CA 90006-2637 | 2013-05-09 |
| 1528304581 | Kyungja Ahn | Acupuncturist | 2727 W Olympic Blvd, Suit 208, Los Angeles, CA 90006-2637 | 2012-12-19 |
| 1306139175 | Hyojoo Susan Lee | Occupational Therapist | 2727 W Olympic Blvd, #302, Los Angeles, CA 90006 | 2011-05-26 |
| 1619271764 | Hs Acupuncture Inc. | Acupuncturist | 2727 W Olympic Blvd, #208, Los Angeles, CA 90006-2637 | 2011-01-04 |
| 1174854376 | Anne J Ha | Physical Therapist | 2727 W Olympic Blvd, Suite 302, Los Angeles, CA 90006-2637 | 2010-01-28 |
| 1447484647 | Han Sung Kim | Dentist | 2727 W Olympic Blvd, 311, Los Angeles, CA 90006-2637 | 2009-05-04 |
| 1033350806 | Hyung Suk Choi | Acupuncturist | 2727 W Olympic Blvd, Suite 208, Los Angeles, CA 90006-2637 | 2009-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
| 1770048266 | Luxi Optometry, Inc | Ophthalmology | 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 | 2019-02-08 |
| 1053895565 | Lili Mirtorabi D.d.s A Professional Corporation | Dentist | 2368 Pico Boulevard, Los Angeles, CA 90006 | 2018-09-20 |
| 1083192116 | Sanghee Hong | Nurse Practitioner | 2655 W Olympic Blvd Ste 101, Los Angeles, CA 90006 | 2018-07-31 |
| 1134638919 | Joon Hyung Kim | Chiropractor | 3130 W. Olympic Blvd., Suite 350, Los Angeles, CA 90006 | 2017-09-25 |
| 1578082988 | Judy Lee | Behavior Technician | 900 South Serrano Ave #401, Los Angeles, CA 90006 | 2017-09-18 |
| 1689126773 | Seungah Madison Lee | Acupuncturist | 3053 W. Olympic Blvd, #311, Los Angeles, CA 90006 | 2016-10-25 |
| 1790149789 | Kihyun Kim | Acupuncturist | 975 S. Vermont Ave, #201, Los Angeles, CA 90006 | 2016-04-06 |
| 1407215486 | Young Zoo Kim | Acupuncturist | 1001 S. Vermont Ave, #207, L.a., CA 90006 | 2016-02-18 |
| 1376916817 | Global Eastern Medicine Group | Acupuncturist | 1010 S. Fedora St. #101, Los Angeles, CA 90006 | 2015-11-05 |
| Find all providers in zip 90006 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1407487622 | Lenise N. Yarber D.d.s, Professional Dental Corporation | Dentist | 5035 W Slauson Ave Ste G, Los Angeles, CA 90056-1647 | 2020-01-27 |
| 1790334134 | Rodef & Yousefi Dental Corporation | Dentist | 3736 Crenshaw Blvd, Los Angeles, CA 90016 | 2019-09-09 |
| 1114489820 | Dds Dental Corporation | Dentist | 140 S Robertson Blvd, Los Angeles, CA 90048-3208 | 2019-04-02 |
| 1053895565 | Lili Mirtorabi D.d.s A Professional Corporation | Dentist | 2368 Pico Boulevard, Los Angeles, CA 90006 | 2018-09-20 |
| 1710466248 | Sue Vin Kim | Dentist | 1308 Orchard Ave, Los Angeles, CA 90006-4712 | 2018-08-06 |
| 1013401082 | Jonathan Shouhed Dds Inc | Dentist | 2320 S Robertson Blvd Ste 101, Los Angeles, CA 90034-2053 | 2018-06-21 |
| 1114419611 | Jonathan Beroukhim | Dentist | 1666 Thayer Ave Apt 202, Los Angeles, CA 90024-6056 | 2018-05-31 |
| 1922450121 | Chad Arthur, Dds, Ms, Inc | Dentist | 8540 S Sepulveda Blvd Ste 1115, Los Angeles, CA 90045-3828 | 2016-07-12 |
| 1669821633 | Peter B Lee | Dentist | 1111 S Grand Ave Apt 706, Los Angeles, CA 90015-2169 | 2016-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90006 |
Please comment or provide details below to improve the information on JIN PARK DDS, INC.
| 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.