DR. MARK JUNGWON PAK


Address: 1809 Verdugo Blvd Ste 330, Glendale, CA 91208-1402
Phone: 8189520061

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
49966 CA Dental Providers

Office Location

Street Address 1809 VERDUGO BLVD STE 330
City GLENDALE
State CA
Zip Code 91208-1402

Providers in the same zip code

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 Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City GLENDALE
Zip Code 91208

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Dataset Information

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.

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