1. Home
  2. Directory
  3. California
  4. Gardena
  5. Clinic Center
  6. NPI Profile

JC PARK DENTAL GROUP, INC.
NPI 1215638713
Clinic/Center - Dental in Gardena, CA

Active since March 13, 2023
15201 S WESTERN AVE, GARDENA, CA 90249(310) 400-7705(310) 400-7714 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jc Park Dental Group, Inc. NPPES

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

JC PARK DENTAL GROUP, INC. (NPI 1215638713) is a healthcare organization registered as a dental in Gardena, California and active in the NPI registry since March 2023. The organization lists Jaechan Park, President, as its authorized official.

NPPES Registry Identity

NPI1215638713
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJC PARK DENTAL GROUP, INC.
Location Address15201 S WESTERN AVEGardena, CA 90249-4314
Mailing Address614 Inverness CtFullerton, CA 92835-2776 · (626) 454-0159
Phone(310) 400-7705
Fax(310) 400-7714
Organization SubpartNo
Authorized OfficialJaechan ParkPresident · (626) 454-0159
Enumeration DateMarch 13, 2023
NPPES CertifiedMarch 13, 2023
✔ NPI 1215638713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
15201 S WESTERN AVE, Gardena, CA 90249
Open in Google Maps ↗

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.

JAECHAN PARK D.D.S.
Dentist (General Practice)
15201 S WESTERN AVE
GARDENA, CA 90249
Los Angeles County (310) 400-7705
HELEN PARK
Dentist (General Practice)
15201 S WESTERN AVE
GARDENA, CA 90249
Los Angeles County (310) 400-7705

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 Jc Park Dental Group, Inc.'s NPI number?

The NPI number for Jc Park Dental Group, Inc. is 1215638713. It was assigned to this organization in the NPPES registry on March 13, 2023.

Where is Jc Park Dental Group, Inc. located?

Jc Park Dental Group, Inc. is located at 15201 S Western Ave, Gardena, CA 90249. The listed phone number is (310) 400-7705.

What is Jc Park Dental Group, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Jc Park Dental Group, Inc. was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.