JI YONG PARK DDS
NPI 1710045463
Dentist - Orthodontics and Dentofacial Orthopedics in Fullerton, CA

Active since December 05, 2006
100 E VALENCIA MESA DR, SUITE 209, FULLERTON, CA 92835(714) 871-0500(714) 871-0510 Get Directions Write a Review

NPPES record last updated: September 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ji Yong Park Dds NPPES

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

JI YONG PARK DDS (NPI 1710045463) is an individual orthodontics and dentofacial orthopedics provider in Fullerton, California, licensed in California (44525) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1710045463
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameJI YONG PARKCredential: DDS
Location Address100 E VALENCIA MESA DR, SUITE 209Fullerton, CA 92835-3813
Mailing Address100 E Valencia Mesa Dr, Suite 209Fullerton, CA 92835-3813 · (714) 871-0500 · Fax (714) 871-0510
Fax(714) 871-0510
Sole ProprietorNo
Enumeration DateDecember 5, 2006
Last NPPES UpdateSeptember 29, 2008
NPI 1710045463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 44525
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
100 E VALENCIA MESA DR, Fullerton, CA 92835

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Critical Care Medicine)
100 E VALENCIA MESA DR
FULLERTON, CA 92835
Neurological Surgery
100 E VALENCIA MESA DR
FULLERTON, CA 92835
Physician Assistant
100 E VALENCIA MESA DR, SUITE 310
FULLERTON, CA 92835
Dietitian, Registered
100 E VALENCIA MESA DR, SUITE 111
FULLERTON, CA 92835
Pharmacy (Community/Retail Pharmacy)
100 E VALENCIA MESA DR, SUITE 106
FULLERTON, CA 92835
Internal Medicine (Interventional Cardiology)
100 E VALENCIA MESA DR, SUITE 206
FULLERTON, CA 92835
Dietitian, Registered
100 E VALENCIA MESA DR, SUITE 105
FULLERTON, CA 92835
Physician Assistant (Surgical)
100 E VALENCIA MESA DR, SUITE 105
FULLERTON, CA 92835

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 Ji Park's NPI number?

The NPI number for Ji Park is 1710045463. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Ji Park located?

Ji Park practices at 100 E Valencia Mesa Dr Suite 209, Fullerton, CA 92835. The listed phone number is (714) 871-0500.

What is Ji Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Ji Park accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Ji 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 Ji Park was last updated on September 29, 2008. 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.