Woo Sung Park Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

54186 Issued in CA

Legal business name

WOO SUNG PARK DENTAL CORP

Practice address

3130 W Olympic Blvd Ste 320
Los Angeles, CA 90006-2494

Phone

(323) 766-2888

NPI assigned

Dec 31, 2015

Organization subpart

No

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

Authorized official

Name

Woo Sung Park

Title

Owner

Phone

(714) 553-5977

Specialties & licenses 1

Addresses

Other names 1

• Elite Dental Clinic Other name

Locations

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1346605672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 W OLYMPIC BLVD STE 320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062494",
            "telephone_number": "323-766-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 W OLYMPIC BLVD STE 320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062494",
            "telephone_number": "323-766-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOO SUNG PARK DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "WOO SUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-553-5977"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "54186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Dental Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Panasnan Wongsuvan
• Penpayom Wongsuwan
• Abigail Cristin Wonnell, MS, ATC
• Leanna Kimberly Wonoprabowo, MD
• Woo S Kim Chiropractic Rehab Therapy a Prof Corp
• Andre Woo
• Anna Hyunkyung Woo, LCSW
• Brian Woo
• Brianne Woo, OD
• Christina S Woo, MD

• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, 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 Dec 31, 2015; 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.