Park Cho Dental Partnership

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PARK CHO DENTAL PARTNERSHIP

Practice address

14930 Imperial Hwy Ste D
La Mirada, CA 90638-2100

Phone

(562) 777-1234

NPI assigned

Aug 26, 2022

Organization subpart

No

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

Authorized official

Name

Sung Wook ParkNPI 1578088779

Title

Ceo

Phone

(909) 553-3786

Specialties & licenses 1

Addresses

Other names 1

• La Mirada One 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.

• Sung Wook Park, DDS

  • Dentist
  • La Mirada, CA
  • NPI 1578088779
  NPD Authorized official

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1992424402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14930 IMPERIAL HWY STE D",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382100",
            "telephone_number": "562-777-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14930 IMPERIAL HWY STE D",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382100",
            "telephone_number": "562-777-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CHO DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SUNG WOOK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-553-3786"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Mirada One Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orange County Care Providers,Inc.
• Alison Ozaki, DDS
• Mark Ozaki, D.D.S.
• Pravay Padia
• Kathleen Segura Pangilinan, RDH ; RDHAP
• Jeung Hyun Park, L.AC
• Marisa Park
• Sehjin Park
• Sung Wook Park, DDS
• Khulwinder Singh Parmar, D.C.

• Dental Clinic/Center in La Mirada, CA
• Providers in La Mirada, 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 Aug 26, 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.