Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477956175 Individual Practitioner Female Practitioner

Sooh Park

Dentist - General Practice • Yucaipa, CA

Professional Overview & Biography Verified Profile Summary

Sooh Park is a registered healthcare professional specializing in Dentist - General Practice in Yucaipa, CA. Practice services are available at 34880 YUCAIPA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

34880 Yucaipa Blvd

Yucaipa, CA 923994235

Telephone 9097971136
Associated Practice Facility / Clinic
🏢 Chokka Dental Corporation Facility NPI 1639270234

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Yucaipa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
17 Specialists

Practicing in Yucaipa, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 63849

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License CA 63849

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Nathaniel Leng , DDS

Dentist - General Practice

NPI 1194077529

Doctor of Dental Surgery

Dr. Sudhakar Chokka , DDS

Dentist - General Practice

NPI 1275635385

Doctor of Dental Surgery

Dr. Miriam Fidal , DDS

Dentist - General Practice

NPI 1508638495

Doctor of Dental Surgery

Dr. Kevin Chung , DDS

Dentist - General Practice

NPI 1710465885

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 06, 2022

Registered at 34880 YUCAIPA BLVD, YUCAIPA, CA 923994235 (Tel: 9097971136)

📍
Updated Business Mailing Address January 06, 2022

Registered at 34880 YUCAIPA BLVD, YUCAIPA, CA 923994235

👤
Provider Name / Credentials Updated January 06, 2022

Recorded as SOOH PARK

NPI Profile Active October 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2014

Registered at 25453 ORANGE CREST WAY, LOMA LINDA, CA 923543627 (Tel: 5593047423)

📍
Updated Business Mailing Address October 08, 2014

Registered at 25453 ORANGE CREST WAY, LOMA LINDA, CA 923543627 (Tel: 5593047423)

👤
Provider Name / Credentials Updated October 08, 2014

Recorded as SOOH HYUN KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2014

Dentist (License #63849 in CA)

🟢
Initial NPI Registration & Enumeration October 08, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477956175
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2014
Last Update: January 06, 2022
Sole Proprietor: No

Mailing Address

34880 Yucaipa Blvd

Yucaipa, CA 923994235

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.