Won Sur Park DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

64734 Issued in CA

Legal business name

WON SUR PARK DDS, INC.

Practice address

531 W 7TH St
San Pedro, CA 90731-3115

Phone

(310) 831-0003

Fax

(310) 646-4166

NPI assigned

Dec 8, 2017

Organization subpart

No

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

Authorized official

Name

Won Sur Park, DDS

Title

Owner Dentist

Phone

(310) 831-0003

Specialties & licenses 1

Addresses

Other names 1

• A Plus Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maryam Seirafi, D.D.S

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1720390958
  NPD (past)

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1962917294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 W 7TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313115",
            "telephone_number": "310-984-4955",
            "fax_number": "310-646-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 W 7TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313115",
            "telephone_number": "310-831-0003",
            "fax_number": "310-646-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WON SUR PARK DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "WON SUR",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "310-831-0003",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "64734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Plus Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stella Wisner, DDS
• Kathi Wolfrum, D.C.
• Zoe Quinn Wolk, RDH
• Kimberly Womack, LMHC
• Shameca Womack
• Lewis Wong, MD
• Miesha Lynn Worthey
• Kirk Thomas Wright, D.C., R.N.
• Lynneae D Wright
• Kirsten Yabuta

• Dental Clinic/Center in San Pedro, CA
• Providers in San Pedro, 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 Jul 25, 2022; 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.