Jun Sang Park is a Los Angeles, California based Periodontics who is specialized in
Periodontology. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jun Sang Park is
DDS107513 for Periodontology in California. His current practice location is
4220 W 3rd St, Los Angeles. Patients can reach him at
209-518-2095.
Jun Sang Park is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Profile:
Jun Sang 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: | Jun Sang Park |
| Specialization: | Periodontics |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4220 W 3rd St, Los Angeles,
California, 90020-3450 |
| Phone: | 209-518-2095 |
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: | 1770210254 |
| NPI Enumeration Date: | 04 Aug, 2022 |
| NPI Last Update On: | 04 Aug, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jun Sang Park are as mentioned below.
| License Number | Specialization | State | Status | |
| DDS107513 | Periodontology | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jun Sang Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| DDS107513 | Other | California | DENTAL BOARD OF CALIFORNIA |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3820 Blanche St,
Pasadena, California |
| Zip: | 91107-3944 |
| Phone Number: | 209-518-2095 |
Patients can reach Jun Sang Park at
4220 W 3rd St, Los Angeles, California or can
call to book an appointment on 209-518-2095.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.