Jino Park Dds Inc

LBN: Jino Park Dds Inc
Jino Park Dds Inc is an health care organization with primary practice located at 22611 Lake Forest Dr Ste C5 , Lake Forest CA 92630-1700. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Jino Park Dds Inc can be contacted via phone (909) 969-3503, or through Park, Jino via phone (909) 969-3503.

Contact Information

Primary practice address
22611 Lake Forest Dr Ste C5 Lake Forest CA 92630-1700
Phone: (909) 969-3503
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Park, Jino Doctor of Dental Surgery (DDS)
Phone: (909) 969-3503

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1568092401
LBN Legal business name Jino Park Dds Inc
DBA Doing business as
Authorized official Park, Jino Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2020
Last updated Jan 20th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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