Dr Jonggoo Park, DDS in Fountain Valley, CA - Dentist

Dr Jonggoo Park, DDS is a Dentist based in Fountain Valley, California. Dr Jonggoo Park is licensed to practice in California (license number 102883) and his current practice location is 18444 Brookhurst St, Fountain Valley, California. He can be reached at his office (for appointments etc.) via phone at (714) 962-2471.

NPI number for Dr Jonggoo Park is 1003394313 and his current mailing address is 18444 Brookhurst St, Fountain Valley, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003394313.

Contact Information

	Dr Jonggoo Park, DDS
	18444 Brookhurst St, Fountain Valley, CA 92708-6706
	(714) 962-2471
	(714) 968-6411

Healthcare Provider's Profile

Full Name	Dr Jonggoo Park
Gender	Male
Speciality	Dentist
Location	18444 Brookhurst St, Fountain Valley, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1003394313
Provider Enumeration Date: 07/30/2018
Last Update Date: 03/04/2022

Medical Identifiers

Medical identifiers for Dr Jonggoo Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003394313	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	102883 (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. Dr Jonggoo Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jonggoo Park, DDS 18444 Brookhurst St, Fountain Valley, CA 92708-6706 Ph: (714) 962-2471	Dr Jonggoo Park, DDS 18444 Brookhurst St, Fountain Valley, CA 92708-6706 Ph: (714) 962-2471

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Dentist in Fountain Valley, CA

Dr. David Cohen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 11180 Warner Ave, #451, Fountain Valley, CA 92708 Phone: 714-444-4428 Fax: 714-444-4192
Dr. Martha Jane Aszterbaum, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 17928 Magnolia St, Fountain Valley, CA 92708 Phone: 714-963-8934
Helen Tran Ninh, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10810 Warner Ave, Suite #1, Fountain Valley, CA 32708 Phone: 714-965-1093 Fax: 714-965-1083
Dr. Richard Byungwoo Chong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 16045 Brookhurst St, Fountain Valley, CA 92708 Phone: 657-900-2208
Dr. Bijan Modjtahedi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 18109 Magnolia St, Fountain Valley, CA 92708 Phone: 714-962-2432 Fax: 714-962-3752
Mr. Darryl S. Bowles, Dentist Medicare: Not Enrolled in Medicare Practice Location: 17130 Magnolia St., Fountain Valley, CA 92708 Phone: 714-842-5539 Fax: 714-842-5530

Dr Jonggoo Park, DDS - Dentist in Fountain Valley, CA