Sung Wook Park DDS Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SUNG WOOK PARK DDS INC.

Practice address

14930 Imperial Hwy Ste D
La Mirada, CA 90638-2100

Phone

(562) 777-1234

Fax

(562) 777-2345

NPI assigned

Jul 30, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Sung Wook ParkNPI 1578088779

Title

Ceo

Phone

(909) 553-3786

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sung Wook Park, DDS

  • Dentist
  • La Mirada, CA
  • NPI 1578088779
  Authorized official Same address or phone

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1184233538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14930 IMPERIAL HWY STE D",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382100",
            "telephone_number": "562-777-1234",
            "fax_number": "562-777-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14930 IMPERIAL HWY STE D",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382100",
            "telephone_number": "562-777-1234",
            "fax_number": "562-777-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG WOOK PARK DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SUNG WOOK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-553-3786",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SRS-la Mirada LLC
• Lorena Elaine Stewart, LCSW
• Straight Talk Clinic, Inc
• Mary Elizabeth Strehle, PT
• John N Sullivan, D.C.
• Sunshine Medical Equipment, Inc.
• Talk & Grow Speech Therapy P.C.
• Jade Corinne Tamyo, RD
• Melanie A. Taylor, PSY.D.
• Mahsa Tehrani

• Dental Clinic/Center in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.