Juhee Park

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100472 Issued in CA

Practice address

610 N Coast Hwy Ste 110
Laguna Beach, CA 92651-1526

Phone

(949) 497-4900

NPI assigned

Sep 9, 2016

Sex

Female

Sole proprietor

No

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

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.

• Ken Garcia DDS, a Professional Corporation

  • General Practice Dentistry
  • Laguna Beach, CA
  • NPI 1033356589
  NPD (past)
• Toan Nguyen Dental Corporation

  • Dental Clinic/Center
  • Laguna Beach, CA
  • NPI 1427559699
  NPD (past)

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586563200000",
    "number": "1396292116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N COAST HWY STE 110",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511526",
            "telephone_number": "714-900-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N COAST HWY STE 110",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511526",
            "telephone_number": "949-497-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26194 Long St",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923546557",
            "country_code": "US",
            "telephone_number": "714-900-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "JUHEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theron Dean Page Jr.
• David S Palmer, PH.D.
• Fabrice Paracuellos, MFT
• Charles Michael Parise, M.D.
• Christine Hyunsun Park, MD
• Jonathan Lee Parker, DDS
• Simone Kayla Parmenter, FNP
• Abby Rose Patton
• Mark Paulsen, M.D.
• Saskia Pechanic

• General Practice Dentistry in Laguna Beach, CA
• Providers in Laguna Beach, 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 Apr 11, 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.