Dr. Jun Sup Park, DDS
Dr. Jun Sup Park is a Dentist provider (Dentist) practicing in Downey, CA, registered in the NPPES registry with NPI 1669907663 since 2017. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1669907663 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Jun Sup Park |
| Credential | DDS |
| Sex | Male |
| Practice address | 8612 FIRESTONE BLVD, Downey, CA, 90241 |
| Phone | 5623821528 |
| Enumeration date | 2017-04-27 |
| Last updated in NPPES | 2022-08-19 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Secondary | 2901022211 | MI |
| 122300000X | Dentist | Primary | 107810 | CA |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Jun Sup Park, DDS NPI: 1669907663 Taxonomy: 122300000X (Dentist) Address: 8612 FIRESTONE BLVD, Downey, CA, 90241
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1033457635 | Shorouq Sahawneh | Organization | Dentist | Downey, CA |
| 1073918140 | Consumerhealth, Inc. | Organization | Dentist | Downey, CA |
| 1992180756 | Sahawneh Dental Corporation | Organization | Dentist | Downey, CA |
| 1639538481 | Consumerhealth, Inc. | Organization | Public Health Dentistry | Downey, CA |
| 1689191769 | Tyler Zalatimo | Individual | General Practice Dentistry | Downey, CA |
| 1962978494 | Claudia Reyes | Individual | Dental Assistant | Downey, CA |
Verify this record
Cross-check NPI 1669907663 against the authoritative CMS record: view Dr. Jun Sup Park on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-08-19.