Sue Jean Park, DDS

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

58385 Issued in CA

Practice address

530 S Lake Ave # 534
Pasadena, CA 91101-3515

Phone

(562) 201-2221

NPI assigned

Dec 22, 2009

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1659600682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S LAKE AVE # 534",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013515",
            "telephone_number": "562-201-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S LAKE AVE # 534",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013515",
            "telephone_number": "562-201-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUE JEAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CA",
            "license": "58385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Faith Heeyoung Park, LMFT
• Kristoffer Park
• Kwang Hee Park, L.AC
• Margaret Park, OTR/L
• Phillip S.H Park, DDS
• Susan S. Park, PH.D.
• Catharine Parker
• Jill Parker, D.D.S.
• Kimm Parker, LCSW
• Lationna Parker

• Dental Anesthesiology in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Dental Anesthesiology in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.