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STEPHEN JIN PARK DDS
NPI 1760561450
Dentist - Endodontics in Los Angeles, CA

Active since November 03, 2006
925 W 34TH ST # 124C, LOS ANGELES, CA 90089(213) 740-0655 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 24, 2017 (3 updates tracked since 2017).

About Stephen Jin Park Dds NPPES

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

STEPHEN JIN PARK DDS (NPI 1760561450) is an individual endodontics provider in Los Angeles, California, licensed in California (49971) and active in the NPI registry since November 2006. He maintains a secondary practice location in Carson.

NPPES Registry Identity

NPI1760561450
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameSTEPHEN JIN PARKCredential: DDS
Location Address925 W 34TH ST # 124CLos Angeles, CA 90089-0058
Mailing Address901 Northampton WayFullerton, CA 92833-1413 · (714) 732-0369
Phone(213) 740-0655
Sole ProprietorNo
Enumeration DateNovember 3, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1760561450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in CA · 49971
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
925 W 34TH ST # 124C, Los Angeles, CA 90089
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Secondary Practice Location 1

Location 1550 E Del Amo BlvdCarson, CA 90746-3314 · Phone (310) 515-5672

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

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

ANDREA FERNANDA ORDONEZ TELLO
Dentist (Endodontics)
925 W 34TH ST # 124C
LOS ANGELES, CA 90089
Los Angeles County (213) 740-0566

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 Stephen Park's NPI number?

The NPI number for Stephen Park is 1760561450. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Stephen Park located?

Stephen Park practices at 925 W 34th St # 124C, Los Angeles, CA 90089. The listed phone number is (213) 740-0655.

What is Stephen Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Stephen Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Stephen 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 Stephen Park was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.