Jisoo Park is a Los Angeles, California based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jisoo Park is
111621 for General Practice Dentistry in California. Her current practice location is
3500 W 6th St Ste 208, Los Angeles. Patients can reach her at
213-381-7770.
Jisoo Park is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jisoo Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jisoo Park |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3500 W 6th St Ste 208, Los Angeles,
California, 90020-5801 |
| Phone: | 213-381-7770 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1316835911 |
| NPI Enumeration Date: | 24 Jun, 2025 |
| NPI Last Update On: | 12 Dec, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jisoo Park are as mentioned below.
| License Number | Specialization | State | Status | |
| 111621 | General Practice Dentistry | California | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3500 W 6th St Ste 208,
Los Angeles, California |
| Zip: | 90020-5801 |
| Phone Number: | 213-505-8299 |
Patients can reach Jisoo Park at
3500 W 6th St Ste 208, Los Angeles, California or can
call to book an appointment on 213-381-7770.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 February, 2026.