| Jaechan Park, DDS | |
|
15201 S Western Ave, Gardena, CA 90249-4314 | |
| (310) 400-7705 | |
| Not Available |
| Full Name | Jaechan Park |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 15201 S Western Ave, Gardena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275666315 | NPI | - | NPPES |
| 1687022 | Other | PA | UNITED CONCORDIA |
| G92988-01 | Other | CA | DENTICAL |
| 1581480 | Medicaid | AK | |
| B49972-01 | Other | CA | HEALTHY FAMILY |
| D49972 | Other | CA | DENTICAL-RENDERING ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49972 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jaechan Park, DDS 614 Inverness Ct, Fullerton, CA 92835-2776 Ph: (626) 454-0159 | Jaechan Park, DDS 15201 S Western Ave, Gardena, CA 90249-4314 Ph: (310) 400-7705 |
Yan Yampolsky, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1210 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-523-9009 | |
Dr. Harry C Kim, DDS Dentist Medicare: Medicare Enrolled Practice Location: 15400 Crenshaw Blvd, Gardena, CA 90249 Phone: 310-516-9858 Fax: 310-516-9658 | |
Dr. Dung N Nguyen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 16229 S Western Ave, Gardena, CA 90247 Phone: 310-515-2875 | |
Dr. Rose Marie Baniqued Quimson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2926 Marine Ave, Gardena, CA 90249 Phone: 310-538-4496 Fax: 310-538-4495 | |
Dr. Abier Abdulwahab, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 15506 Ermanita Ave, Gardena, CA 90249 Phone: 714-467-8555 | |
Dr. Maria Teresa Mantuano Yepiz, DENTIST Dentist Medicare: Medicare Enrolled Practice Location: 1451 W Artesia Blvd, Suite 6, Gardena, CA 90248 Phone: 310-323-0290 | |
Dr. Jeffrey Yasunori Yamashiro, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1605 W Redondo Beach Blvd, Suite #203, Gardena, CA 90247 Phone: 310-329-1312 Fax: 310-329-1074 |