MEDICARE: DR. KWANG SEO 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	49384	CA

General Provider Information

NPI Number	:	1457486086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KWANG SEO PARK D.D.S.

Provider Business Mailing Address
First Line	:	3023 BUNKER HILL ST STE 101
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-5706
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3023 BUNKER HILL ST STE 101
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-5706
Country	:	US
Telephone Number	:	858-270-1400
Fax Number	:	858-270-1424

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

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	07/16/2009

Similar Medicare Providers

1417944893 — DR. MINCHEN WANG L.AC., PH.D
Practice Location Address:

3023 BUNKER HILL ST , SUITE 206
SAN DIEGO, CA
92109-5706

Practice Phone: 858-688-7294
Practice Fax: 858-746-4212

1386670438 — DR. HOSSAIN ALI RONAGHY M.D.
Practice Location Address:

3023 BUNKER HILL ST , #106
SAN DIEGO, CA
92109-5706

Practice Phone: 619-275-2700
Practice Fax: 858-270-0011

1528075827 — JUNE D MELIN MD
Practice Location Address:

3023 BUNKER HILL ST STE 205
SAN DIEGO, CA
92109-5706

Practice Phone: 858-581-0081
Practice Fax: 858-581-2510

1205949914 — DR. ROY CHARLES BROWNLOW MD
Practice Location Address:

3023 BUNKER HILL ST STE 203
SAN DIEGO, CA
92109-5706

Practice Phone: 858-205-1993
Practice Fax: 619-202-8090

1023170131 — DR. SASSAN ALAVI M.D.
Practice Location Address:

3023 BUNKER HILL ST , SUITE 204
SAN DIEGO, CA
92109-5706

Practice Phone: 858-483-0690
Practice Fax:

1063550663 — DR. KAREN RENE ROHRBAUGH DAOM, L.AC.
Practice Location Address:

3023 BUNKER HILL STREET , SUITE 201
SAN DIEGO, CA
92109-5706

Practice Phone: 619-818-2358
Practice Fax: 858-750-3500

Directions to “ DR. KWANG SEO 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 © 2007-2026 (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.