WOO SUNG PARK D.D.S., M.D.S.
NPI 1144454869
Dentist - General Practice in Los Angeles, CA

Active since May 08, 2009PECOS Enrolled
3130 W OLYMPIC BLVD STE 320, LOS ANGELES, CA 90006(323) 766-2888(323) 766-2822 Get Directions Write a Review

NPPES record last updated: May 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Woo Sung Park D.d.s., M.d.s. NPPES

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

WOO SUNG PARK D.D.S., M.D.S. (NPI 1144454869) is an individual general practice provider in Los Angeles, California, licensed in California (54186) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144454869
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameWOO SUNG PARKCredential: D.D.S., M.D.S.
Location Address3130 W OLYMPIC BLVD STE 320Los Angeles, CA 90006-2494
Mailing Address3130 W Olympic Blvd Ste 320Los Angeles, CA 90006-2494 · (323) 766-2888 · Fax (323) 766-2822
Fax(323) 766-2822
Sole ProprietorYes
Enumeration DateMay 8, 2009
NPI 1144454869 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 · 54186
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.
3130 W OLYMPIC BLVD STE 320, Los Angeles, CA 90006

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)

Woo Sung Park D.d.s., M.d.s. 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 90006 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 2

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

Clinic/Center (Dental)
3130 W OLYMPIC BLVD STE 320
LOS ANGELES, CA 90006
Clinic/Center (Dental)
3130 W OLYMPIC BLVD STE 320
LOS ANGELES, CA 90006

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 Woo Sung Park's NPI number?

The NPI number for Woo Sung Park is 1144454869. It was assigned to this individual provider in the NPPES registry on May 8, 2009.

Where is Woo Sung Park located?

Woo Sung Park practices at 3130 W Olympic Blvd Ste 320, Los Angeles, CA 90006. The listed phone number is (323) 766-2888.

What is Woo Sung Park's specialty?

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

Is Woo Sung Park enrolled in Medicare?

Yes. Woo Sung Park is registered in the Medicare PECOS enrollment system.

What insurance does Woo Sung Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Woo Sung 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 Woo Sung Park was last updated on May 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.