Search › California › 1223G0001X
Jaechan Park, D.D.S
NPI 1275666315 · on the registry since 2007 · sole proprietor
Practice
- Address
- 15201 S Western Ave
Gardena, CA 90249 - Phone
- (310) 400-7705
- Organisation at this address
- Jc Park Dental Group, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 2421 E Tudor Rd Ste 101, Anchorage, AK
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California