Gina Wooyoung Paik, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS109426 Issued in CA

Practice address

11549 South St
Cerritos, CA 90703-6627

Phone

(562) 278-1609

NPI assigned

Aug 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Michael Wong Dental Corporation

  • General Practice Dentistry
  • Cerritos, CA
  • NPI 1952909582
  NPD

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1780163220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11549 SOUTH ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11549 SOUTH ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036627",
            "telephone_number": "562-278-1609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Hoff St",
            "address_purpose": "LOCATION",
            "city": "Fort Benning",
            "state": "GA",
            "postal_code": "319055645",
            "country_code": "US",
            "telephone_number": "706-544-2051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "HQ, 618TH DCAS/DENTAC, KOREA",
            "address_2": "UNIT 15652",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "96271",
            "country_code": "US",
            "telephone_number": "714-726-2256",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "PAIK",
        "first_name": "GINA",
        "middle_name": "WOOYOUNG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022793",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS109426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanelle Marie V Padre, PHARM.D.
• Dianamae Pagilagan
• Gabriel Pahang
• Kanwarjit Pahwa, PH.D.
• Kiwoo Pai, PH.D
• Jaesoo Pak, M.D.
• Jinah Kim Pak, LCSW
• Min Ji Pak
• Yoon Suk Pak, M.D.
• Paks Medical Clinic, Inc

• Dentist in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.