Annie Youngeun Park, DDS - Medicare Dentist in Los Angeles, CA

Annie Youngeun Park, DDS is a medicare enrolled "Dentist" provider in Los Angeles, California. Her current practice location is 5877 S Vermont Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 759-1523.

Annie Youngeun Park is licensed to practice in California (license number 104250) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033767579.

Contact Information

Annie Youngeun Park, DDS
5877 S Vermont Ave,
Los Angeles, CA 90044-3741
(323) 759-1523
Not Available



Healthcare Provider's Profile

Full NameAnnie Youngeun Park
GenderFemale
SpecialityDentist
Location5877 S Vermont Ave, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033767579
  • Provider Enumeration Date: 08/28/2019
  • Last Update Date: 08/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8628404795
  • Enrollment ID: I20200208000228

Medical Identifiers

Medical identifiers for Annie Youngeun Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033767579NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 104250 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Annie Youngeun Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Annie Youngeun Park, DDS
96 Chantilly,
Irvine, CA 92620-2805

Ph: () -
Annie Youngeun Park, DDS
5877 S Vermont Ave,
Los Angeles, CA 90044-3741

Ph: (323) 759-1523

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› Verified 8 days ago


Dentist in Los Angeles, CA

Dr. Kyung A Lim, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 827 S Berendo St Apt 202, Los Angeles, CA 90005
Phone: 213-219-2530    
Sonia Khullar, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 132 S Vermont Avenue, Suite #210, Los Angeles, CA 90004
Phone: 213-389-2625    Fax: 213-389-4736
Dr. William W Morgan, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 100 Ucla Medical Plz Ste 350, Los Angeles, CA 90095
Phone: 310-794-5750    
Dr. Clarice Law Eyre, DMD, MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 100 Ucla Medical Plz Ste 350, Los Angeles, CA 90095
Phone: 310-794-5750    
Dr. Arjang Vahidnia, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 7162 Beverly Blvd, #543, Los Angeles, CA 90036
Phone: 310-443-3030    
Dr. Adrian Sanchez,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6114 York Blvd, Suite C, Los Angeles, CA 90042
Phone: 323-255-6698    
Dr. Bindu Vasudevan Pillai, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 5207 Whittier Blvd, Los Angeles, CA 90022
Phone: 323-269-0266    

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