JUN SANG PARK
NPI 1770210254
Dentist - Periodontics in Los Angeles, CA
NPI Status: Active since August 04, 2022
Contact Information
4220 W 3RD ST
LOS ANGELES, CA
ZIP 90020
Phone: (209) 518-2095
- Individual
- Male
- Dentist
- Periodontics
- Accepts Insurance
About JUN SANG PARK
This page provides the complete NPI Profile along with additional information for Jun Sang Park, a provider established in Los Angeles, California with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1770210254 assigned on August 2022. The practitioner's primary taxonomy code is 1223P0300X with license number DDS107513 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1770210254
- Provider Name
- JUN SANG PARK
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4220 W 3RD ST LOS ANGELES, CA 90020
- Location Phone
- (209) 518-2095
- Mailing Address
- 3820 BLANCHE ST PASADENA, CA 91107
- Mailing Phone
- (209) 518-2095
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-04-2022
- Last Update Date
- 08-04-2022
- Code Navigator
A dentist like Jun Sang Park is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Periodontics
- Taxonomy Code
- 1223P0300X
- Type
- Dental Providers
- License No.
- DDS107513
- License State
- CA
- Taxonomy Description
- That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Standard - HMO
- Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Standard - HMO
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Standard - HMO
- Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Standard - HMO
- BEST Life Superior Dental Plan - PPO
- BEST Essential Basic Dental Plan - PPO
- BEST Life Essentail Basic Dental Plan - PPO
- BEST Life Essentail Value Dental Plan - PPO
- BEST Life Essental Value Dental Plan - PPO
- BEST Life Essential Basic Dental - PPO
- BEST Life Essential Basic Dental Plan - PPO
- BEST Life Essential Basic Dental - PPO
- BEST Life Essential Basic Dental Plan - PPO
- BEST Life Essential Vakue Dental Plan - PPO
- BEST Life Essential Value Dental Plan - PPO
- BEST Life Essential Value Dental - PPO
- BEST Life Essential Value Dental Plan - PPO
- BEST Life Preferred Dental Plan - PPO
- BEST Life Preferred Dental - PPO
- BEST Life Preferred Dental Plan - PPO
- BEST Life Preferred Dental plan - PPO
- BEST Life Superior Dental - PPO
- BEST Life Superior Dental Plan - PPO
- BEST Life Superior Dental Plan - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueDental Copayment Q - PPO
- BlueDental Copayment QF - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
- Paramount Dental Essential Plus Plan - EPO
- Paramount Dental Preventive Family Plan - EPO
- Paramount Dental Total Care Plan - EPO
- HRI Essential Plus Plan - HMO
- HRI Essential Plus Plan - PPO
- HRI Preventive Family Plan - HMO
- HRI Preventive Family Plan - PPO
- HRI Total Care Plan - HMO
- HRI Total Care Plan - PPO
- Alabama Preferred Plan - PPO
- Alabama Preferred Plan (Pediatric Only) - PPO
- Alabama Preferred Plus Plan - PPO
- Alabama Preferred Plus Plan (Pediatric Only) - PPO
- Alabama Wellness Essentials Plan - PPO
- Florida Preferred Plan - PPO
- Florida Preferred Plan (Pediatric Only) - PPO
- Florida Preferred Plus Plan - PPO
- Florida Preferred Plus Plan (Pediatric Only) - PPO
- Florida Wellness Essentials Plan - PPO
- High PPO Dental Plan - PPO
- High PPO Dental Plan (Pediatric Only) - PPO
- Kansas Preferred Plan - PPO
- Kansas Preferred Plan (Pediatric Only) - PPO
- Kansas Wellness Essentials Plan - PPO
- Low PPO Dental Plan - PPO
- Low PPO Dental Plan (Pediatric Only) - PPO
- Mississippi Preferred Plan - PPO
- Mississippi Preferred Plan (Pediatric Only) - PPO
- Mississippi Wellness Essentials Plan - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| DDS107513 | OTHER (01) | CA | DENTAL BOARD OF CALIFORNIA |
Reviews for JUN SANG PARK
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 2 | 1 | 0 | 2 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 4 | 1 | 0 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 4 + 1 + 0 + 2 + 1 + 0 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1770210254 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1033103346 | WON BO LEE MD Individual | Radiology (Diagnostic Radiology) | 4220 W 3RD ST #102 LOS ANGELES, CA 90020 (213) 384-0199 |
| 1225072481 | DR. ANDREW S CHO M.D. Individual | Ophthalmology | 4220 W 3RD ST SUITE 206 LOS ANGELES, CA 90020 (213) 380-8800 |
| 1619073806 | DR. IN SOOK ANGELA RHEE MD Individual | Pediatrics | 4220 W 3RD ST #205 LOS ANGELES, CA 90020 (213) 386-0183 |
| 1548356108 | DR. SCOTT YONG JIN KIM DDS Individual | Dentist (General Practice) | 4220 W 3RD ST SUITE #101 LOS ANGELES, CA 90020 (213) 387-5570 |
| 1215063011 | DR. ANDREW WOOSUNG KWON D.D.S. Individual | Dentist (General Practice) | 4220 W 3RD ST SUITE 101 LOS ANGELES, CA 90020 (213) 387-5570 |
| 1578749610 | ROBERT PARK D.D.S. Individual | Dentist | 4220 W 3RD ST STE 202 LOS ANGELES, CA 90020 (213) 382-3215 |
| 1659432870 | DAVID K KAHNG Individual | Plastic Surgery | 4220 W 3RD ST SUITE 102 LOS ANGELES, CA 90020 (213) 384-4800 |
| 1376789644 | DAVID K KAHNG MD A PROFESSIONAL CORPORATION Organization | Plastic Surgery | 4220 W 3RD ST SUITE 102 LOS ANGELES, CA 90020 (213) 384-4800 |
| 1699014852 | DK SURGERY CENTER, A MEDICAL CORPORATION Organization | Clinic/Center (Ambulatory Surgical) | 4220 W 3RD ST SUITE 102 LOS ANGELES, CA 90020 (213) 384-4800 |
| 1518129980 | SAMANTHA CHAI MD Individual | Ophthalmology | 4220 W 3RD ST SUITE 206 LOS ANGELES, CA 90020 (213) 380-8800 |
| 1891148532 | SERRANO SURGERY CENTER, INC Organization | Clinic/Center (Ambulatory Surgical) | 4220 W 3RD ST SUITE 114 LOS ANGELES, CA 90020 (213) 418-0199 |
| 1346795879 | DAVID K. KAHNG, MD, APC Organization | Plastic Surgery | 4220 W 3RD ST SUITE 210 LOS ANGELES, CA 90020 (213) 418-0207 |
| 1710093182 | DR. HANS HANSUCK KIM M.D. Individual | Ophthalmology (Retina Specialist) | 4220 W 3RD ST SUITE 206 LOS ANGELES, CA 90020 (213) 380-8800 |
| 1730129719 | MARTIN EDWARD FLYNN M.D. Individual | Anesthesiology | 4220 W 3RD ST STE 102 LOS ANGELES, CA 90020 (213) 384-4800 |
| 1851332241 | SERRANO EYE CENTER MEDICAL GROUP Organization | Ophthalmology | 4220 W 3RD ST SUITE 206 LOS ANGELES, CA 90020 (213) 380-8800 |
| 1922139757 | TAE M SHIN, M.D. INC. Organization | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 4220 W 3RD ST SUITE #208 LOS ANGELES, CA 90020 (213) 386-3554 |
| 1164542635 | ROBERT TAEHONG PARK DDS, INC. Organization | Dentist | 4220 W 3RD ST STE 202 LOS ANGELES, CA 90020 (213) 382-3215 |
| 1104095884 | JAMES I SONG PHARM. D. Individual | Pharmacist | 4220 W 3RD ST SUITE 100 LOS ANGELES, CA 90020 (213) 384-3405 |
| 1225207764 | JAMES SONG PHARM.D. PHARMACY INC. Organization | Pharmacy (Community/Retail Pharmacy) | 4220 W 3RD ST STE 100 LOS ANGELES, CA 90020 (231) 384-3405 |
| 1841499332 | DR. SUSAN Y KIM O.D. Individual | Optometrist | 4220 W 3RD ST SUITE 206 LOS ANGELES, CA 90020 (310) 373-4370 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770210254, enumerated in the NPI registry as an "individual" on August 04, 2022
The provider is located at 4220 W 3rd St Los Angeles, Ca 90020 and the phone number is (209) 518-2095
The provider's speciality is Dentist with taxonomy code 1223P0300X with a focus in Periodontics
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Antidote Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 04, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.