JINO PARK DDS INC (NPI# 1568092401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568092401 |
| Entity Type | Organization |
| Organization Name | JINO PARK DDS INC |
| Practice Address |
22611 Lake Forest Dr Ste C5 Lake Forest CA 92630-1700 |
| Mailing Address |
106 Rotunda Irvine CA 92620-7325 |
| Practice Telephone | 9099693503 |
| Mailing Telephone | 9099693503 |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | JINO PARK (CEO) |
| Authorized Official Telephone | 9099693503 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LF Dental | Doing Business As Name - Organization |
| Street Address |
22611 LAKE FOREST DR STE C5 |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316495112 | Elizabeth Ga Yeun Kim | Dentist | 22611 Lake Forest Dr Ste C5, Lake Forest, CA 92630 | 2016-09-21 |
| 1487181459 | Trung L Tran Dds Inc | Dentist | 22611 Lake Forest Dr Ste C5, Lake Forest, CA 92630-1700 | 2017-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528614633 | Narda Rodriguez Dmd Inc | Clinic/Center | 20671 Lake Forest Dr Ste B103, Lake Forest, CA 92630-7746 | 2019-08-14 |
| 1659898278 | T. D. Nguyen, D.d.s., Inc. | Clinic/Center | 25432 Trabuco Rd Ste 206, Lake Forest, CA 92630-2758 | 2017-08-24 |
| 1861888190 | Muirlands Dental | Clinic/Center | 23361 El Toro Rd Ste#105, Lake Forest, CA 92630 | 2015-04-14 |
| 1952877854 | Park Dental Group Inc | Clinic/Center | 22611 Lake Forest Dr, Lake Forest, CA 92630-1700 | 2018-10-17 |
| 1124513601 | Mozhgan Molkara Dds,inc. | Clinic/Center | 21991 El Toro Rd Ste 6, Lake Forest, CA 92630-6518 | 2018-06-27 |
| 1538533070 | Lake Forest Dental Associates | Clinic/Center | 133 E Laurel Ave, Lake Forest, IL 60045-1326 | 2015-11-20 |
| 1841608502 | Lake Forest Pediatic Dentistry, PC | Clinic/Center | 500 N Western Ave, Suite 215, Lake Forest, IL 60045-1954 | 2014-07-25 |
| 1538242912 | Scott E. West Dds, Inc. | Clinic/Center | 22672 Lambert St, #603, Lake Forest, CA 92630-1613 | 2006-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
Please comment or provide details below to improve the information on JINO 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.