Doctor profile · Federal record

Dr. Jun Sang Park

Periodontist · Los Angeles, CA

  • NPI 1770210254
  • 4 yrs on file
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4220 W 3Rd St
Los Angeles, CA 900203450
(209) 518-2095
Mailing address
3820 Blanche St
Pasadena, CA 911073944

Credentials & registration

NPPES · NUCC
NPI registered
August 2022 — 4 yrs on file
Specialty taxonomy
1223P0300X — NUCC code
State license (1)
California #DDS107513

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1770210254. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$100
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Straumann USA LLC 1 $100.00

By nature of payment

Education
$100

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
80
Patients
73
Total drug cost
$503
Drug Type Claims Patients Total cost
Chlorhexidine Gluconate Generic 35 32 $297
Ibuprofen Generic 28 26 $127
Amoxicillin Generic 17 15 $78

Frequently asked questions

Auto-generated from federal data
What is Dr. Jun Sang Park's medical specialty?
Dr. Jun Sang Park practices Periodontist in Los Angeles, CA.
Where does Dr. Jun Sang Park practice?
Dr. Jun Sang Park practices at 4220 W 3Rd St, Los Angeles, CA 900203450. Office phone: 2095182095.
What is Dr. Jun Sang Park's NPI?
Dr. Jun Sang Park's National Provider Identifier (NPI) is 1770210254, issued by NPPES.