Mr. Soo Tae Park is a Lancaster, California based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mr. Soo Tae Park is 33967 for Dentistry in California. His current practice location is 44841 N 10th St W, Lancaster. Patients can reach him at 661-948-1655.
Mr. Soo Tae Park is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mr. Soo Tae 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:
Mr. Soo Tae Park
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
44841 N 10th St W, Lancaster, California, 93534
Phone:
661-948-1655
Fax:
661-940-9636
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:
1124084728
NPI Enumeration Date:
22 Apr, 2006
NPI Last Update On:
09 Oct, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Soo Tae Park are as mentioned below.
License Number
Specialization
State
Status
33967
Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Soo Tae Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
G9225701
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
44841 N 10th St W, Lancaster, California
Zip:
93534
Phone Number:
661-948-1655
Fax Number:
661-940-9636
Patients can reach Mr. Soo Tae Park at 44841 N 10th St W, Lancaster, California or can call to book an appointment on 661-948-1655. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.