Jc Park Dds Inc

LBN: Jc Park Dds Inc
Jc Park Dds Inc is an health care organization with primary practice located at 1505 S Riverside Ave Unit B , Rialto CA 92376-7725. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Jc Park Dds Inc can be contacted via phone (909) 440-5345, or through Park, Jaechan via phone (626) 454-0159.

Contact Information

Primary practice address
1505 S Riverside Ave Unit B Rialto CA 92376-7725
Phone: (909) 440-5345
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Park, Jaechan Doctor of Dental Surgery (DDS)
Phone: (626) 454-0159

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1609636810
LBN Legal business name Jc Park Dds Inc
DBA Doing business as
Authorized official Park, Jaechan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2024
Last updated Mar 22nd, 2024 - about 2 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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