MEDICARE: DR. EDWARD PAK 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	122300000X	Dentist	34644	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B34644-02	OTHER	CA	DENTI-CAL

General Provider Information

NPI Number	:	1538355904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD PAK D.D.S.

Provider Business Mailing Address
First Line	:	5252 ORANGE AVE
Second Line	:	SUITE 110
City	:	CYPRESS
State	:	CA
Zip	:	90630-2967
Country	:	US
Telephone Number	:	714-828-5252
Fax Number	:	714-828-7888

Provider Business Practice Location Address
First Line	:	5252 ORANGE AVE
Second Line	:	SUITE 110
City	:	CYPRESS
State	:	CA
Zip	:	90630-2967
Country	:	US
Telephone Number	:	714-828-5252
Fax Number	:	714-828-7888

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

Provider Enumeration Date	:	09/19/2007
Last Update Date	:	09/19/2007

Similar Medicare Providers

1053273722 — EMILY BUI
Practice Location Address:

5252 ORANGE AVE STE 109
CYPRESS, CA
90630-2967

Practice Phone: 657-214-8014
Practice Fax:

1538021233 — ANTONY SOSA
Practice Location Address:

5252 ORANGE AVE STE 109
CYPRESS, CA
90630-2967

Practice Phone: 657-214-8014
Practice Fax:

1720295256 — OPUS IMAGING
Practice Location Address:

5252 ORANGE AVE , 104
CYPRESS, CA
90630-2967

Practice Phone: 866-375-1940
Practice Fax: 877-816-0721

1033380555 — CARETECH HOME HEALTH, INC.
Practice Location Address:

5252 ORANGE AVE , SUITE 205
CYPRESS, CA
90630-2967

Practice Phone: 714-484-7828
Practice Fax: 714-484-7637

1164768941 — ALWAYS CARE HOSPICE, INC.
Practice Location Address:

5252 ORANGE AVE STE 212
CYPRESS, CA
90630-2967

Practice Phone: 714-952-4298
Practice Fax:

1972917508 — PAMELA LOZADA M. ED, BCBA
Practice Location Address:

5252 ORANGE AVE STE 109
CYPRESS, CA
90630-2967

Practice Phone: 657-213-0199
Practice Fax:

Directions to “ DR. EDWARD PAK 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.