Sanghoon Park, DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

54608 Issued in CA

Legal business name

SANGHOON PARK, DDS, INC.

Practice address

13031 Kerry St
Garden Grove, CA 92844-1638

Phone

(714) 689-2200

Fax

(714) 689-9112

NPI assigned

Nov 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sanghoon Park, DDS

Title

Dentist/Owner/President

Phone

(714) 689-2200

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1770763468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13031 KERRY ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441638",
            "telephone_number": "714-689-2200",
            "fax_number": "714-689-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13031 KERRY ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441638",
            "telephone_number": "714-689-2200",
            "fax_number": "714-689-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGHOON PARK, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SANGHOON",
        "authorized_official_title_or_position": "DENTIST/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "714-689-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "54608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ID",
            "identifier": "D54608",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER ID",
            "identifier": "G8961601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter Sandoval
• Sang H. Park Dental Corp
• Sang Kwak Physical Therapy, Inc.
• Sang Lee & Deuk Oh DDS Inc
• Sang Lee & Deuk Oh, DDS, Inc
• Megha Sanghu
• Abigail Sangren
• Kjirsten Elaine Santaferraro, M.ED, HD, LPCC
• Iris Gabriela Santamaria
• Ricardo Sael Santana Jr.

• Dental Clinic/Center in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.