| Jooyoelpark Dds Inc | |
|
204 N Pacific Ave San Pedro CA 90731-2016 | |
| (310) 832-8800 | |
| (310) 832-8801 |
| Full Name | Jooyoelpark Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 204 N Pacific Ave, San Pedro, California |
| Authorized Official Name and Position | Jooyoel Park (CEO) |
| Authorized Official Contact | 3108328800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jooyoelpark Dds Inc 204 N Pacific Ave San Pedro CA 90731-2016 Ph: (310) 832-8800 | Jooyoelpark Dds Inc 204 N Pacific Ave San Pedro CA 90731-2016 Ph: (310) 832-8800 |
| NPI Number | 1609215284 |
|---|---|
| Provider Enumeration Date | 06/18/2013 |
| Last Update Date | 06/18/2013 |
| Medicare PECOS PAC ID | 5698991115 |
|---|---|
| Medicare Enrollment ID | O20140718001043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609215284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55530 (California) | Primary |
| Provider Name | Jooyoel Park |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1306979638 PECOS PAC ID: 6507082021 Enrollment ID: I20140718001205 |
Coeli Tuvera Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 N Gaffey St, Suite 201, San Pedro, CA 90731 Phone: 310-833-7348 Fax: 310-833-0697 | |
Consumerhealth, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 697 S Gaffey St, San Pedro, CA 90731 Phone: 310-548-1273 | |
San Pedro Family Dentist Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 N Pacific Ave, San Pedro, CA 90731 Phone: 310-832-8800 Fax: 310-832-8801 | |
Assistance League Of San Pedro-south Bay Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 W 8th St, San Pedro, CA 90732 Phone: 310-832-8355 Fax: 310-832-8460 | |
Dr. Smile San Pedro Dental Clinic Medicare: Medicare Enrolled Practice Location: 1622 S Gaffey St, Suite #102, San Pedro, CA 90731 Phone: 310-548-8128 Fax: 310-548-8138 | |
Herbert G Martin Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1360 W 6th St, #110, San Pedro, CA 90732 Phone: 310-833-4439 Fax: 310-833-4999 | |
Dr. Jacqueline Cootes, Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 W 9th St Ste 204, San Pedro, CA 90731 Phone: 310-833-1386 |