Park, Jin Seo
Park, Jin Seo is an individual health care provider with primary practice located at 2727 W Olympic Blvd 301, Los Angeles CA 90006-2637. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Park, Jin Seo can be contacted via phone (213) 385-8000.Contact Information
Primary practice address
2727 W Olympic Blvd 301
Los Angeles CA 90006-2637
Phone: (213) 385-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 47406 | California |
Profile Details
| NPI number | 1366642027 |
|---|---|
| LBN Legal business name | Park, Jin Seo |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2007 |
| Last updated | May 31st, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366642027 | NPPES |
| California | Other | D47406 | CALIFORNIA CHILDRENS SERV |
| California | Other | D47406 | CALIFORNIA CHILDRENS SERV |
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