ANNIE YOUNGEUN PARK DDS
NPI 1033767579
Dentist in Los Angeles, CA

Active since August 28, 2019PECOS Enrolled
5877 S VERMONT AVE, LOS ANGELES, CA 90044(323) 759-1523 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Annie Youngeun Park Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNIE YOUNGEUN PARK DDS (NPI 1033767579) is an individual dentist in Los Angeles, California, licensed in California (104250) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033767579
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameANNIE YOUNGEUN PARKCredential: DDS
Location Address5877 S VERMONT AVELos Angeles, CA 90044-3741
Mailing Address96 ChantillyIrvine, CA 92620-2805
Sole ProprietorYes
Enumeration DateAugust 28, 2019
NPI 1033767579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 104250
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5877 S VERMONT AVE, Los Angeles, CA 90044

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Annie Youngeun Park Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
5877 S VERMONT AVE
LOS ANGELES, CA 90044
Dentist
5877 S VERMONT AVE
LOS ANGELES, CA 90044
Dentist
5877 S VERMONT AVE
LOS ANGELES, CA 90044
Dentist
5877 S VERMONT AVE
LOS ANGELES, CA 90044
Dentist
5877 S VERMONT AVE
LOS ANGELES, CA 90044
Dentist
5877 S VERMONT AVE
LOS ANGELES, CA 90044
Dentist (General Practice)
5877 S VERMONT AVE
LOS ANGELES, CA 90044
Clinic/Center (Dental)
5877 S VERMONT AVE
LOS ANGELES, CA 90044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annie Park's NPI number?

The NPI number for Annie Park is 1033767579. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Where is Annie Park located?

Annie Park practices at 5877 S Vermont Ave, Los Angeles, CA 90044. The listed phone number is (323) 759-1523.

What is Annie Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Annie Park enrolled in Medicare?

Yes. Annie Park is registered in the Medicare PECOS enrollment system.

What insurance does Annie Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Annie Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Annie Park was last updated on August 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.