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ANGELA HYOEUN PARK DMD
NPI 1649167123
Dentist in Long Beach, CA

Active since June 18, 2025PECOS Enrolled
6437 E PACIFIC COAST HWY UNIT A-6, LONG BEACH, CA 90803(562) 280-5200 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela Hyoeun Park Dmd NPPES

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

ANGELA HYOEUN PARK DMD (NPI 1649167123) is an individual dentist in Long Beach, California, licensed in California (111663) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649167123
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameANGELA HYOEUN PARKCredential: DMD
Location Address6437 E PACIFIC COAST HWY UNIT A-6Long Beach, CA 90803-4201
Mailing Address1313 Glenthorpe DrWalnut, CA 91789-3859 · (909) 938-2152
Phone(562) 280-5200
Sole ProprietorNo
Enumeration DateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1649167123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 111663
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.
6437 E PACIFIC COAST HWY UNIT A-6, Long Beach, CA 90803
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Hyoeun Park Dmd 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 90803 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 5

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

DR. LUV PANJABI DDS
Dentist
6437 E PACIFIC COAST HWY UNIT A-6
LONG BEACH, CA 90803
Los Angeles County (562) 280-5200
ADDYSON ENGLAND DDS
Dentist (General Practice)
6437 E PACIFIC COAST HWY UNIT A-6
LONG BEACH, CA 90803
Los Angeles County (562) 280-5200
PAIGE MCDERMOTT
Dentist (General Practice)
6437 E PACIFIC COAST HWY UNIT A-6
LONG BEACH, CA 90803
Los Angeles County (562) 280-5200
KATHLEEN AGUILAR
Dentist (General Practice)
6437 E PACIFIC COAST HWY UNIT A-6
LONG BEACH, CA 90803
Los Angeles County (562) 280-5200
SARAH KIAMANESH DDS
Dentist
6437 E PACIFIC COAST HWY UNIT A-6
LONG BEACH, CA 90803
Los Angeles County (562) 280-5200

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 Angela Park's NPI number?

The NPI number for Angela Park is 1649167123. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Angela Park located?

Angela Park practices at 6437 E Pacific Coast Hwy Unit A-6, Long Beach, CA 90803. The listed phone number is (562) 280-5200.

What is Angela Park's specialty?

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

Is Angela Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Angela Park was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.