| Jino Park Dds Inc | |
|
22611 Lake Forest Dr Ste C5 Lake Forest CA 92630-1700 | |
| (909) 969-3503 | |
| Not Available |
| Full Name | Jino Park Dds Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 22611 Lake Forest Dr Ste C5, Lake Forest, California |
| Authorized Official Name and Position | Jino Park (CEO) |
| Authorized Official Contact | 9099693503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jino Park Dds Inc 106 Rotunda Irvine CA 92620-7325 Ph: (909) 969-3503 | Jino Park Dds Inc 22611 Lake Forest Dr Ste C5 Lake Forest CA 92630-1700 Ph: (909) 969-3503 |
| NPI Number | 1568092401 |
|---|---|
| Provider Enumeration Date | 01/20/2020 |
| Last Update Date | 01/20/2020 |
| Medicare PECOS PAC ID | 6800240904 |
|---|---|
| Medicare Enrollment ID | O20230922002480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568092401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Jino Park |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912246356 PECOS PAC ID: 7618321712 Enrollment ID: I20230922002516 |
Baker Ranch Dental Spa & Implant Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 26501 Rancho Pkwy S, Suite 202, Lake Forest, CA 92630 Phone: 949-273-8220 Fax: 949-273-8120 | |
Kathy Maasoumi D.d.s Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22706 Aspan St, Suite 602, Lake Forest, CA 92630 Phone: 949-716-7000 Fax: 949-716-0600 | |
Sean Sanhoon Kim Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23772 Mercury Rd, Lake Forest, CA 92630 Phone: 949-340-0266 | |
Liu Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23731 El Toro Rd Ste E, Lake Forest, CA 92630 Phone: 949-910-3551 | |
Dr Afzalis Lake Forest Lifetime Dental Group Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23731 El Toro Rd Ste D, Lake Forest, CA 92630 Phone: 949-581-8108 | |
Jeanette Huong Thai, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24432 Muirlands Blvd Ste 201, Lake Forest, CA 92630 Phone: 949-837-8482 Fax: 949-837-9858 | |
Mozhgan Molkara Dds,inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21991 El Toro Rd Ste 6, Lake Forest, CA 92630 Phone: 949-380-7788 Fax: 949-380-8812 |