Junmook Park, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS105731 Issued in CA

Practice address

6383 Atlantic Ave
Bell, CA 90201-1227

Phone

(323) 562-1301

NPI assigned

Nov 13, 2020

Last updated

Nov 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wonderkids Dental Compton

  • Dental Clinic/Center
  • Compton, CA
  • NPI 1578300182
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1174125124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6383 ATLANTIC AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902011227",
            "telephone_number": "323-562-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6383 ATLANTIC AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902011227",
            "telephone_number": "323-562-1301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1014 E Manchester Ave Ste H",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900013772",
            "country_code": "US",
            "telephone_number": "323-996-5211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "JUNMOOK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS105731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar Zambrano M.D. Inc
• Prisma Otanez, FNP
• P & J Hospital, Inc. (Bell Convalescent Hospital)
• Pacific Women's Medical Clinic, Inc
• Rosa Maria Pallan, PAC
• Priya A Patel, DMD
• Gene Persip
• Physicians Service Laboratory
• Leanne Pitts, PHARMD
• Portals

• General Practice Dentistry in Bell, CA
• Providers in Bell, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.