M Park Dental Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

M PARK DENTAL INC

Practice address

23326 Hawthorne Blvd Ste 320
Torrance, CA 90505-3760

Phone

(310) 901-2300

NPI assigned

Jan 24, 2023

Last updated

Jan 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael H Park, DDSNPI 1194270231

Title

Owner/President

Phone

(310) 901-2300

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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.

• Michael H Park, DDS

  • Pediatric Dentistry
  • Palos Verdes Estates, CA
  • NPI 1194270231
  NPD Authorized official

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1508572439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23326 HAWTHORNE BLVD STE 320",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053760",
            "telephone_number": "310-901-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23326 HAWTHORNE BLVD STE 320",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053760",
            "telephone_number": "310-901-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M PARK DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-901-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "106120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Therese Lyons, N.P.
• Elyse Lyou, DMD
• Marshall Young Lyou, MARSHALL LYOU, D.D.S
• M Hospital Inc
• M Papadopoulos a Dental Corp.
• M&C Rehab Inc
• Ma Dental Corporation (Ma Family Dental)
• Abraham David Ma, MD
• Hongbo Ma, RPH
• Judy H. Ma, DDS

• Pediatric Dentistry in Torrance, CA
• Providers in Torrance, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.