Jung Sim & Stephen Park Dental

Primary specialty

Special HospitalTaxonomy code 284300000X

License

50371 Issued in CA

Legal business name

JUNG SIM & STEPHEN PARK DENTAL

Practice address

8803 Whittier Blvd Ste 200
Pico Rivera, CA 90660-2682

Phone

(562) 463-6163

Fax

(562) 463-6388

NPI assigned

Apr 19, 2007

Last updated

Jul 7, 2008By 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. Jung Hyeb Sim, DMD

Title

Owner

Phone

(562) 463-6388

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1689891012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 WHITTIER BLVD STE 200",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602682",
            "telephone_number": "562-463-6163",
            "fax_number": "562-463-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 WHITTIER BLVD STE 200",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602682",
            "telephone_number": "562-463-6163",
            "fax_number": "562-463-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG SIM & STEPHEN PARK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "SIM",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "HYEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-463-6388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "CA",
            "license": "50371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JKL Group, Inc. (Coslo Pharmacy)
• Christina M Johannsen-Elbling
• Katie Lorrie Jones
• Joon Hee Lee DMD a Professional Corp.
• Elisea Jose, N.P.
• Priti Mansukh Kaneria, PHARM.D.
• Angela Jihye Kang, PHARM.D.
• Cristina Kelekian
• Kelly and Saade Pediatrics Medical Corporation
• David J Kelly, M.D.

• Special Hospital in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Special Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.