| Dr Jooyoel Park, | |
|
69160 Ramon Rd., Suite #100, Cathedral City, CA 92234-3343 | |
| (760) 969-5469 | |
| (760) 770-0280 |
| Full Name | Dr Jooyoel Park |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 69160 Ramon Rd., Cathedral City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306979638 | NPI | - | NPPES |
| D55530 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55530 (California) | Primary |
| Entity Name | Joo Yoel Park Dds Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609215284 PECOS PAC ID: 5698991115 Enrollment ID: O20140718001043 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jooyoel Park, 256 S Hobart Blvd, Apt #10, Los Angeles, CA 90004-5248 Ph: (760) 969-5469 | Dr Jooyoel Park, 69160 Ramon Rd., Suite #100, Cathedral City, CA 92234-3343 Ph: (760) 969-5469 |
Dr. Nithya Venugopal, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 68555 Ramon Rd Ste D101, Cathedral City, CA 92234 Phone: 951-384-6022 | |
Ashlee Verma, Dentist Medicare: Not Enrolled in Medicare Practice Location: 67760 E Palm Canyon Dr, Cathedral City, CA 92234 Phone: 760-688-7653 | |
Dr. Jayjay Sapigao, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 31280 Bob Hope Dr Ste 102, Cathedral City, CA 92276 Phone: 760-422-3888 Fax: 760-422-3889 | |
Mrs. Alyssa Catherine Dewenter, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 67760 E Palm Canyon Dr, Cathedral City, CA 92234 Phone: 760-688-7653 | |
Bruno Lemay, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 69450 Ramon Rd, Cathedral City, CA 92234 Phone: 760-324-4450 | |
Dr. Mark Steven Anderson, Dentist Medicare: Not Enrolled in Medicare Practice Location: 68905 Vista Chino, Cathedral City, CA 92234 Phone: 951-444-8805 | |
Brandon Soomin Cho, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 69450 Ramon Rd, Cathedral City, CA 92234 Phone: 760-324-4450 |