Bojun Park DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

56290 Issued in CA

Legal business name

BOJUN PARK DDS INC

Practice address

1112 S Bristol St
Santa Ana, CA 92704-3420

Phone

(714) 668-9884

Fax

(714) 668-0381

NPI assigned

May 2, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Bojun Park

Title

DDS, Ceo

Phone

(714) 668-9884

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1669908299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 S BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043420",
            "telephone_number": "714-668-9884",
            "fax_number": "714-668-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043420",
            "telephone_number": "714-668-9884",
            "fax_number": "714-668-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOJUN PARK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "BOJUN",
        "authorized_official_title_or_position": "DDS, CEO",
        "authorized_official_telephone_number": "714-668-9884",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lowell A Boehland, M.D.
• Elysia Lauren Boeshart, BT
• Juli Bohlman, PSYD
• Robert Alexander Bohon
• Adolfo A Bojorquez, LMFT
• Jacob Boland
• Tacosha Bolanos
• Brenda Bollinger, N.P.
• Kim Bonaccorso
• Brandon Bonachea

• Dentist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.