JUN SANG PARK
NPI 1770210254
Dentist - Periodontics in Los Angeles, CA

NPI Status: Active since August 04, 2022

Contact Information

4220 W 3RD ST
LOS ANGELES, CA
ZIP 90020
Phone: (209) 518-2095

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  • Individual
  • Male
  • Dentist
  • Periodontics
  • Accepts Insurance

About JUN SANG PARK

This page provides the complete NPI Profile along with additional information for Jun Sang Park, a provider established in Los Angeles, California with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1770210254 assigned on August 2022. The practitioner's primary taxonomy code is 1223P0300X with license number DDS107513 (CA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1770210254
Provider Name
JUN SANG PARK
Gender
Male
Entity Type
Individual
Location Address
4220 W 3RD ST LOS ANGELES, CA 90020
Location Phone
(209) 518-2095
Mailing Address
3820 BLANCHE ST PASADENA, CA 91107
Mailing Phone
(209) 518-2095
Is Sole Proprietor?
Yes
Enumeration Date
08-04-2022
Last Update Date
08-04-2022
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A dentist like Jun Sang Park is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
License No.
DDS107513
License State
CA
Taxonomy Description
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 8500 for HSA - HMO
  • Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Catastrophic Essential (+ Incentives) - HMO
  • Anthem Catastrophic Pathway (+ Incentives) - EPO
  • Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • BEST Life Preferred Dental Plan - PPO
  • BEST Life Superior Dental Plan - PPO
  • BEST Life Essental Preferred Dental Plan - PPO
  • BEST Life Essental Value Dental Plan - PPO
  • BEST Life Essential Basic Dental Plan - PPO
  • BEST Life Essential Basic Dental - PPO
  • BEST Life Essential Basic Dental Plan - Indemnity
  • BEST Life Essential Basic Dental Plan - PPO
  • BEST Life Essential Value Dental Plan - PPO
  • BEST Life Essential Value Dental - PPO
  • BEST Life Essential Value Dental Plan - Indemnity
  • BEST Life Essential Value Dental Plan - PPO
  • BEST Life Preferred Dental - PPO
  • BEST Life Preferred Dental Plan - PPO
  • BEST Life Preferred Dental Plan - Indemnity
  • BEST Life Preferred Dental Plan - PPO
  • BEST Life Superior Dental - PPO
  • BEST Life Superior Dental Plan - PPO
  • BEST Life Superior Dental Plan - Indemnity
  • BEST Life Superior Dental Plan - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueDental Copayment Q - PPO
  • BlueDental Copayment QF - PPO
  • HRI Essential Plus Plan - HMO
  • HRI Essential Plus Plan - PPO
  • HRI Preventive Family Plan - HMO
  • HRI Preventive Family Plan - PPO
  • HRI Total Care Plan - HMO
  • HRI Total Care Plan - PPO
  • Humana Dental Smart Choice - PPO
  • Humana Dental Smart Choice - Basic - PPO
  • Humana Dental Smart Choice - High - PPO
  • Humana Dental Smart Choice - Lite - PPO
  • Humana Dental Smart Choice - Low - PPO
  • Paramount Dental Essential Plus Plan - EPO
  • Paramount Dental Preventive Family Plan - EPO
  • Paramount Dental Total Care Plan - EPO
  • Alabama Preferred Plan - PPO
  • Alabama Preferred Plan (Pediatric Only) - PPO
  • Alabama Preferred Plus Plan - PPO
  • Alabama Preferred Plus Plan (Pediatric Only) - PPO
  • Alabama Wellness Essentials Plan - PPO
  • Florida Preferred Plan - PPO
  • Florida Preferred Plan (Pediatric Only) - PPO
  • Florida Preferred Plus Plan - PPO
  • Florida Preferred Plus Plan (Pediatric Only) - PPO
  • Florida Wellness Essentials Plan - PPO
  • High PPO Dental Plan - PPO
  • High PPO Dental Plan (Pediatric Only) - PPO
  • Kansas Preferred Plan - PPO
  • Kansas Preferred Plan (Pediatric Only) - PPO
  • Kansas Wellness Essentials Plan - PPO
  • Low PPO Dental Plan - PPO
  • Low PPO Dental Plan (Pediatric Only) - PPO
  • Mississippi Preferred Plan - PPO
  • Mississippi Preferred Plan (Pediatric Only) - PPO
  • Mississippi Wellness Essentials Plan - PPO
  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DDS107513OTHER (01)CADENTAL BOARD OF CALIFORNIA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1770210254, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 2 → 4 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 4 + 0 + 4 + 1 + 0 + 2 + 1 + 0 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1770210254.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
4220 W 3RD ST, #102
LOS ANGELES, CA 90020
Ophthalmology
4220 W 3RD ST, SUITE 206
LOS ANGELES, CA 90020
Pediatrics
4220 W 3RD ST, #205
LOS ANGELES, CA 90020
Dentist (General Practice)
4220 W 3RD ST, SUITE #101
LOS ANGELES, CA 90020
Dentist (General Practice)
4220 W 3RD ST, SUITE 101
LOS ANGELES, CA 90020
Dentist
4220 W 3RD ST, STE 202
LOS ANGELES, CA 90020
Plastic Surgery
4220 W 3RD ST, SUITE 102
LOS ANGELES, CA 90020
Plastic Surgery
4220 W 3RD ST, SUITE 102
LOS ANGELES, CA 90020
Clinic/Center (Ambulatory Surgical)
4220 W 3RD ST, SUITE 102
LOS ANGELES, CA 90020
Ophthalmology
4220 W 3RD ST, SUITE 206
LOS ANGELES, CA 90020
Clinic/Center (Ambulatory Surgical)
4220 W 3RD ST, SUITE 114
LOS ANGELES, CA 90020
Plastic Surgery
4220 W 3RD ST, SUITE 210
LOS ANGELES, CA 90020
Ophthalmology (Retina Specialist)
4220 W 3RD ST, SUITE 206
LOS ANGELES, CA 90020
Anesthesiology
4220 W 3RD ST, STE 102
LOS ANGELES, CA 90020
Ophthalmology
4220 W 3RD ST, SUITE 206
LOS ANGELES, CA 90020
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4220 W 3RD ST, SUITE #208
LOS ANGELES, CA 90020
Dentist
4220 W 3RD ST, STE 202
LOS ANGELES, CA 90020
Pharmacist
4220 W 3RD ST, SUITE 100
LOS ANGELES, CA 90020
Pharmacy (Community/Retail Pharmacy)
4220 W 3RD ST, STE 100
LOS ANGELES, CA 90020
Optometrist
4220 W 3RD ST, SUITE 206
LOS ANGELES, CA 90020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770210254, enumerated as an "individual" on August 04, 2022.

The provider is located at 4220 W 3RD ST LOS ANGELES, CA 90020 and the phone number is (209) 518-2095.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.