DR. MARK JUNGWON PAK (NPI# 1336365790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336365790 |
Entity Type | Individual |
Full Name | DR. MARK JUNGWON PAK |
Credential | D.D.S. |
Practice Address |
1809 Verdugo Blvd Ste 330 Glendale CA 91208-1402 |
Practice Telephone | 8189520061 |
Practice Fax Number | 8189520166 |
Mailing Telephone | 8189520061 |
Mailing Fax Number | 8189520166 |
Enumeration Date | 2007-04-17 |
Last Update Date | 2008-07-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
49966 | CA | Dental Providers |
Street Address |
1809 VERDUGO BLVD STE 330 |
City | GLENDALE |
State | CA |
Zip Code | 91208-1402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346847431 | Anil Buyruk | Registered Nurse | 1812 Verdugo Blvd Usc Verdugo Hills Hospital, Glendale, CA 91208 | 2020-10-02 |
1568003366 | Regal Hospice and Palliative Care Inc | Hospice Care, Community Based | 3430 Ocean Blvd Unit B, Glendale, CA 91208 | 2019-10-02 |
1447675202 | Lana Danica Shajanian | Marriage & Family Therapist | 3460 Ocean View Blvd Ste E, Glendale, CA 91208 | 2014-03-03 |
1427495811 | Van Nuys Hospice Care, Inc | Hospice Care, Community Based | 1555 North Verdugo Rd., Suite 202, Glendale, CA 91208 | 2013-05-27 |
1851636740 | Sabrina Somani | Marriage & Family Therapist | 1809 Verdugo Blvd Ste 260, Glendale, CA 91208 | 2012-12-03 |
1144462094 | Marisela Ramirez | Case Manager/Care Coordinator | 5005 Texas St. Ste 203, San Diego, CA 91208 | 2009-03-24 |
1164647103 | Robert Young Yum | Anesthesiology | 1922 Caminito Del Pilar, Glendale, CA 91208 | 2007-04-16 |
1447372321 | Joseph Aslanyan Dds and Jaqueline Chibarian Dds A Professional Dental | Dentist | 3600 Ocean View, #6, Glendale, CA 91208 | 2007-04-04 |
1902959240 | Amalia A Armenta | Internal Medicine | 3600 N Verdugo Rd, Ste 301, Glendale, CA 91208 | 2007-01-19 |
1235207572 | Donna D Alderman | General Practice | 1740 Broadview Drive, Glendale, CA 91208 | 2006-12-04 |
Find all providers in zip 91208 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134426521 | Joseph Mounir Morcos | Dentist | 1125 Idlewood Rd, Glendale, CA 91202-2008 | 2011-02-21 |
1063597417 | Edith Gevorgian | Dentist | 332 E Glenoaks Blvd, #100, Glendale, CA 91207 | 2006-10-26 |
1285897660 | Tyler Jensen Hendry | Dentist | 411 N Central Ave, Suite 220, Glendale, CA 91203-2081 | 2008-07-07 |
1518176437 | Irwin Feinberg | Dentist | 18555 N 79th Ave, Bldg B-106, Glendale, AZ 85308-8370 | 2007-05-21 |
1124235056 | Kenneth M. Kimble | Dentist | 18555 N 79th Ave, Ste #b 106, Glendale, AZ 85308-8370 | 2007-05-17 |
1336281856 | Andrew Michael Steinhilber | Dentist | 5855 W Utopia Rd, Glendale, AZ 85308-5251 | 2007-02-12 |
1164572939 | Glenn Stephen Roeder | Dentist | 230 N Maryland Ave, Glendale, CA 91206-4261 | 2007-01-11 |
1255433645 | Tannaz Zahra Malekzadeh | Dentist | 20100 N 51st Ave, Ste F650, Glendale, AZ 85308-5125 | 2006-09-05 |
1508873167 | Stephen B Goldman | Dentist | 411 N Central Ave, Suite 220, Glendale, CA 91203 | 2006-08-03 |
1528097516 | Vanessa Coelho Marinho | Dentist | 17250 N 43rd Ave, Suite 5, Glendale, AZ 85308-4035 | 2006-07-02 |
Find all providers in GLENDALE |
Please comment or provide details below to improve the information on DR. MARK JUNGWON PAK.
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.