Dr. Sungjin James Park
Dentist Anesthesiologist
1038 E Bastanchury Rd #191
Fullerton
, California 92835-2786
Dr. Sungjin James Park
Dentist Anesthesiologist
1038 E Bastanchury Rd #191
Fullerton
, California 92835-2786
(714) 917-2077
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About
Features
Specialties
- Dentist Anesthesiologist
Languages spoken
- English
Location
First Address
- Dr. Sungjin James Park
- 1038 E Bastanchury Rd #191
- Fullerton, CA
- Zip : 92835-2786
- Fax : (714) 917-2077
- Phone : (714) 309-9390
Second Address
- Dr. Sungjin James Park
- 1038 E Bastanchury Rd #191
- Fullerton, CA
- Zip : 92835-2786
- Fax : (714) 917-2077
- Phone : (714) 309-9390
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0004X | Dentist Anesthesiologist | 41030 | CA |
National Provider Identifier
| NPI | 1134278948 |
|---|---|
| Provider Name | Dr. Sungjin James Park |
| First Address | Fullerton, CA 92835-2786 |
| Second Address | Fullerton, CA 92835-2786 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2007 |
| Last Update Date | 19/01/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.