Jooyoelpark DDS Inc
NPI 1609215284ActiveOrganization· Dentist· San Pedro, CA
Dentist in San Pedro, California, registered in NPPES in June 2013. The authorized official on file is Jooyoel Park, DDS, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609215284 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 18, 2013 |
| Last updated in NPPES | Jun 18, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 55530 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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