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DR. WON SUR PARK D.D.S.
NPI 1063898153
Dentist - General Practice in San Pedro, CA

Active since July 30, 2015
531 W 7TH ST STE B, SAN PEDRO, CA 90731(310) 831-0003(310) 626-4166 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2022, Nov 27, 2017 (2 updates tracked since 2017).

About Dr. Won Sur Park D.d.s. NPPES

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

DR. WON SUR PARK D.D.S. (NPI 1063898153) is an individual general practice provider in San Pedro, California, licensed in California (64734) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1063898153
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WON SUR PARKCredential: D.D.S.
Location Address531 W 7TH ST STE BSan Pedro, CA 90731-3115
Mailing Address531 W 7th St Ste BSan Pedro, CA 90731-3115 · (310) 984-4955 · Fax (310) 626-4166
Phone(310) 831-0003
Fax(310) 626-4166
Sole ProprietorNo
Enumeration DateJuly 30, 2015
Last NPPES UpdateJuly 25, 20222 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
✔ NPI 1063898153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 64734
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
531 W 7TH ST STE B, San Pedro, CA 90731
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 Won Sur Park's NPI number?

The NPI number for Won Sur Park is 1063898153. It was assigned to this individual provider in the NPPES registry on July 30, 2015.

Where is Won Sur Park located?

Won Sur Park practices at 531 W 7th St Ste B, San Pedro, CA 90731. The listed phone number is (310) 831-0003.

What is Won Sur Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Won Sur Park accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental and 1 other insurer list Won Sur 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 Won Sur Park was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.