Sun Valley Dental Group

LBN: D Sangho Park Dds Inc
Sun Valley Dental Group is an health care organization with primary practice located at 9375 San Fernando Rd 6 Th Floor, Sun Valley CA 91352-1418. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. D Sangho Park Dds Inc can be contacted via phone (818) 394-9686, or through Park, David S via phone (310) 403-1117.

Contact Information

Primary practice address
9375 San Fernando Rd 6 Th Floor Sun Valley CA 91352-1418
Phone: (818) 394-9686
Fax: (818) 394-9637
Website:
Map and Directions
Authorized official contact:
Name: Park, David S Doctor of Dental Surgery (DDS)
Phone: (310) 403-1117

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 53724 California

Profile Details

NPI number 1801338868
LBN Legal business name D Sangho Park Dds Inc
DBA Doing business as Sun Valley Dental Group
Authorized official Park, David S Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2016
Last updated Nov 8th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801338868 NPPES
California MEDICAID 53274

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