JC PARK DDS INC
NPI 1609636810
Clinic/Center - Dental in Rialto, CA

Q: What is Jc Park Dds Inc's NPI number?

The NPI number for Jc Park Dds Inc is 1609636810. It was assigned to this organization in the NPPES registry on March 22, 2024.

Q: What is Jc Park Dds Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jc Park Dds Inc was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 22, 2024

1505 S RIVERSIDE AVE UNIT B, RIALTO, CA 92376(909) 440-5345 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jc Park Dds Inc NPPES

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

JC PARK DDS INC (NPI 1609636810) is a healthcare organization registered as a dental in Rialto, California and active in the NPI registry since March 2024. The organization lists Jaechan Park, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609636810

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameJC PARK DDS INC

Location Address1505 S RIVERSIDE AVE UNIT BRialto, CA 92376-7725

Mailing Address15201 S Western AveGardena, CA 90249-4314 · (310) 400-7705 · Fax (310) 400-7714

Phone(909) 440-5345

Organization SubpartNo

Authorized OfficialJaechan ParkCeo · (626) 454-0159

Enumeration DateMarch 22, 2024

NPPES CertifiedMarch 20, 2024

✔ NPI 1609636810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

1505 S RIVERSIDE AVE UNIT B, Rialto, CA 92376

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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 Dds Inc's NPI number?

The NPI number for Jc Park Dds Inc is 1609636810. It was assigned to this organization in the NPPES registry on March 22, 2024.

Where is Jc Park Dds Inc located?

Jc Park Dds Inc is located at 1505 S Riverside Ave Unit B, Rialto, CA 92376. The listed phone number is (909) 440-5345.

What is Jc Park Dds 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 Dds Inc was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.