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Jisoo Park, DDS
NPI 1316835911 · General Practice Dentistry · Los Angeles, CA
Jisoo Park, DDS is a General Practice Dentistry provider in Los Angeles, CA (NPI 1316835911).
Provider details
- NPI number
- 1316835911
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 111621 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3500 W 6th St Ste 208
Los Angeles, CA 90020-5801
Phone: (213) 381-7770
Street-level locationGet directions
Mailing address
3500 W 6th St Ste 208
Los Angeles, CA 90020-5801
Additional practice locations (1)
- 12840 Riverside Dr Ste 508North Hollywood, CA 91607-3375Phone: (818) 506-2424
Registry dates
- Enumerated
- 2025-06-24
- Last updated
- 2025-12-12
- Certified
- 2025-12-12
Frequently asked questions
- What is Jisoo Park's NPI number?
- Jisoo Park's National Provider Identifier (NPI) is 1316835911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jisoo Park's specialty?
- Jisoo Park is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jisoo Park located?
- Jisoo Park's practice location on file with NPPES is 3500 W 6th St Ste 208, Los Angeles, CA 90020-5801.
- What is Jisoo Park's phone number?
- The practice phone number listed in the NPPES registry for Jisoo Park is (213) 381-7770.
- Is Jisoo Park's NPI active?
- Yes — Jisoo Park's NPI (1316835911) is active in the NPPES registry as of the last update on 2025-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.