JUNG SIM & STEPHEN PARK DENTAL NPI 1689891012

NPI Information

JUNG SIM & STEPHEN PARK DENTAL is a special hospital in Pico Rivera, CA. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. JUNG SIM & STEPHEN PARK DENTAL NPI is 1689891012. The provider is registered as an organization entity type.

The provider's business location address is:

8803 WHITTIER BLVD STE 200
PICO RIVERA, CA
ZIP 90660-682
Phone: (562) 463-6163
Fax: (562) 463-6388

The provider's authorized official is Jung Hyeb Sim .
The authorized official title is Owner and has the following contact phone number (562) 463-6388.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 7/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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