Jino Park DDS Inc
NPI 1568092401 · Dental Clinic/Center · Lake Forest, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jino Park DDS Inc is a Dental Clinic/Center organization in Lake Forest, CA (NPI 1568092401).
Provider details
- NPI number
- 1568092401
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jino Park, Ceo(909) 969-3503
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Other names (DBA / former)
- Doing business as
- Lf Dental
Registry dates
- Enumerated
- 2020-01-20
- Last updated
- 2020-01-20
- Certified
- 2020-01-20
Frequently asked questions
- What is Jino Park DDS Inc's NPI number?
- Jino Park DDS Inc's National Provider Identifier (NPI) is 1568092401, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jino Park DDS Inc?
- Jino Park DDS Inc is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jino Park DDS Inc located?
- Jino Park DDS Inc's practice location on file with NPPES is 22611 Lake Forest Dr Ste C5, Lake Forest, CA 92630-1700.
- What is Jino Park DDS Inc's phone number?
- The practice phone number listed in the NPPES registry for Jino Park DDS Inc is (909) 969-3503.
- Does Jino Park DDS Inc accept Medicare?
- Jino Park DDS Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jino Park DDS Inc?
- The authorized official listed on Jino Park DDS Inc's NPPES record is Jino Park, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jino Park DDS Inc's NPI active?
- Yes — Jino Park DDS Inc's NPI (1568092401) is active in the NPPES registry as of the last update on 2020-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.