Sangho Park Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SANGHO PARK DENTAL INC

Practice address

603 Wake Ave
Suite #3
El Centro, CA 92243-7500

Phone

(516) 776-0449

Fax

(760) 353-4887

NPI assigned

Sep 26, 2008

Organization subpart

No

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

Authorized official

Name

Sangho Park

Title

Ceo

Phone

(516) 776-0449

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1902056930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 WAKE AVE",
            "address_2": "#63",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439598",
            "telephone_number": "516-776-0449",
            "fax_number": "760-353-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 WAKE AVE",
            "address_2": "SUITE #3",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922437500",
            "telephone_number": "516-776-0449",
            "fax_number": "760-353-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGHO PARK DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SANGHO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-776-0449"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Elena Sanderson, RN
• Adelaida Sandoval
• Diana Sandoval
• Jackeline Idolina Sandoval
• Stephanie Marlene Sandoval
• Diana Alejandra Santa Ana
• Kenya Naomi Santana
• Sebastian Santos, MD
• Maral Sapari
• Saqib Razzaque MD Inc

• General Practice Dentistry in El Centro, CA
• Providers in El Centro, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.