DR. SUE JEAN PARK DDS
NPI 1659600682
Dentist - Dentist Anesthesiologist in Pasadena, CA

Q: What is Sue Jean Park's NPI number?

The NPI number for Sue Jean Park is 1659600682. It was assigned to this individual provider in the NPPES registry on December 22, 2009.

Q: What is Sue Jean Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

Q: When was this NPI record last updated?

The NPPES record for Sue Jean Park was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since December 22, 2009

530 S LAKE AVE # 534, PASADENA, CA 91101(562) 201-2221 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Sue Jean Park Dds NPPES

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

DR. SUE JEAN PARK DDS (NPI 1659600682) is an individual dentist anesthesiologist in Pasadena, California, licensed in California (58385) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1659600682

Entity TypeIndividualFemale

Primary Taxonomy1223D0004X

Provider Legal NameDR. SUE JEAN PARKCredential: DDS

Location Address530 S LAKE AVE # 534Pasadena, CA 91101-3515

Mailing Address530 S Lake Ave # 534Pasadena, CA 91101-3515 · (562) 201-2221

Phone(562) 201-2221

Sole ProprietorYes

Enumeration DateDecember 22, 2009

Last NPPES UpdateNovember 3, 2025

NPPES CertifiedNovember 3, 2025

✔ NPI 1659600682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers

Taxonomy Code1223D0004X

License✔ Licensed in CA · 58385

Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

530 S LAKE AVE # 534, Pasadena, CA 91101

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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 Sue Jean Park's NPI number?

The NPI number for Sue Jean Park is 1659600682. It was assigned to this individual provider in the NPPES registry on December 22, 2009.

Where is Sue Jean Park located?

Sue Jean Park practices at 530 S Lake Ave # 534, Pasadena, CA 91101. The listed phone number is (562) 201-2221.

What is Sue Jean Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Sue Jean Park was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.