Joon Woo Park, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

106097 Issued in CA

Practice address

3700 Wilshire Blvd Ste 780
Los Angeles, CA 90010-3001

Phone

(213) 380-7900

NPI assigned

May 20, 2021

Sex

Male

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Han, Jang, Son & Suh, Dental Group, PC

  • Periodontics
  • Los Angeles, CA
  • NPI 1275781932

  Prosthodontics

  NPD (past)
• WPD Dental Group

  • Periodontics
  • Los Angeles, CA
  • NPI 1982002002
  NPD (past)

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1528633708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CORSON ST APT 329",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033862",
            "telephone_number": "412-660-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WILSHIRE BLVD STE 780",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103001",
            "telephone_number": "213-380-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JOON",
        "middle_name": "WOO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "106097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jong Hyun Park
• Jongmoon Park, L.AC.
• Jooha Park
• Joon Park
• Joon Suk Park, M.D.
• Joon Y Park, PT
• Joong Y Park, MD
• Jooyeon Park
• Joseph Park, CPO
• Joy H. Park, PHARM.D.

• Prosthodontics in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.