MEDICARE: DR. RODNEY KIM PARK D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	CA 37477	CA

General Provider Information

NPI Number	:	1144428194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RODNEY KIM PARK D.D.S.

Provider Business Mailing Address
First Line	:	6146 CAMINO VERDE DR
Second Line	:	SUITE O
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1460
Country	:	US
Telephone Number	:	408-224-7878
Fax Number	:	408-224-3067

Provider Business Practice Location Address
First Line	:	6146 CAMINO VERDE DR
Second Line	:	SUITE O
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1460
Country	:	US
Telephone Number	:	408-224-7878
Fax Number	:	408-224-3067

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2007
Last Update Date	:	07/10/2007

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1750508461 — MICHAEL BIEGANSKI DC
Practice Location Address:

6146 CAMINO VERDE DR , SUITE P
SAN JOSE, CA
95119-1460

Practice Phone: 408-206-5909
Practice Fax: 408-279-3896

1063602472 — ROSA MARCIA VASCONCELLOS PH.D.
Practice Location Address:

6146 CAMINO VERDE DR , SUITE P
SAN JOSE, CA
95119-1460

Practice Phone: 408-981-6204
Practice Fax:

1457420010 — DR. AYLEEN ANNETTE AUGUSTINE D.C.
Practice Location Address:

1460 KOLL CIR , SUITE C
SAN JOSE, CA
95112-4616

Practice Phone: 408-313-7641
Practice Fax:

1629105549 — EZSTEP INC
Practice Location Address:

1460 TULLY RD , 604
SAN JOSE, CA
95122-3059

Practice Phone: 408-277-0562
Practice Fax: 408-277-0592

1073046199 — MELINDA ARMSTEAD MS, MD
Practice Location Address:

1460 CHERRY AVE
SAN JOSE, CA
95125-3801

Practice Phone: 916-734-2972
Practice Fax:

Directions to “ DR. RODNEY KIM PARK D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.