Individual provider · Type 1 NPI

Jisoo Park, DDS

General Practice Dentistry · Los Angeles, CA

NPI number 1316835911 Active

Practice location

3500 W 6th St Ste 208
Los Angeles, CA 90020-5801

Other practice locations

  • 12840 Riverside Dr Ste 508, North Hollywood, CA 91607-3375 · (818) 506-2424

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X111621 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1316835911

Jisoo Park, DDS's National Provider Identifier is 1316835911, issued on Jun 24, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 12, 2025.