Woojung Park

Primary specialty

DentistTaxonomy code 122300000X

License

60750 Issued in CA

Practice address

4710 La Sierra Ave
Riverside, CA 92505-2726

Phone

(951) 324-8180

NPI assigned

Feb 29, 2012

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

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1417221052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11213 DUMETZ LN",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 LA SIERRA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925052726",
            "telephone_number": "951-324-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "WOOJUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myung Kee Park, DDS
• Nathaniel Park, MD
• Sherie L Park, LMFT
• Vanessa Ceballos Park, O.D.
• Wonsok Park, D.C.
• Antrinet R Parker
• Curtis Jerome Parker, AMFT
• Desiree Parker
• Diane Parker
• J'Noie Parker

• Dentist in Riverside, CA
• Providers in Riverside, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.