Hannah Park, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

108235 Issued in CA

Practice address

809 S Atlantic Blvd Ste 308
Monterey Park, CA 91754-4758

Phone

(626) 282-5577

NPI assigned

Apr 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Jerry Tzou DDS a Professional Dental Corporation

  • Preferred Provider Organization
  • Monterey Park, CA
  • NPI 1588069405
  NPD (past)

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1902650328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S HEWITT ST UNIT 537",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S ATLANTIC BLVD STE 308",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544758",
            "telephone_number": "626-282-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HANNAH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winnie Pang, M.D.
• Ivy Panoy, NP
• Alfonso Parga
• Ashlee Jeehye Park, PHARMD
• Hailey Park
• Seon Ji Park, MFC
• Won Woo Park, D.C
• Adela Marie Partida
• Patrick C E Paik MD Med Corp
• Zoe Paulson

• Dentist in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.