Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sooh Park

Individual provider Dentist · NPI 1477956175

Sooh Park is a Dentist in Yucaipa, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

34880 Yucaipa Blvd
Yucaipa, CA 92399-4235
Phone: (909) 797-1136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 63849 (CA)
Dentist Taxonomy 122300000X · Licence 63849 (CA)

Record details

NPI number1477956175
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2014
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022
Mailing address34880 Yucaipa Blvd, Yucaipa, CA 92399-4235

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