Doctor profile · Federal record

Dr. Eun Jin Park

General Practice Dentistry · Manteca, CA

  • NPI 1689044679
  • 11 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2288 Daniels St
Manteca, CA 953376706
(209) 456-5610
Mailing address
801 Atherton Dr Apt 158
Manteca, CA 953377961

Credentials & registration

NPPES · NUCC
NPI registered
October 2015 — 11 yrs on file
Specialty taxonomy
1223G0001X — NUCC code
State license (1)
California #65154

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1689044679. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$21
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Solventum Corporation 1 $20.93

By nature of payment

Food and Beverage
$21

Frequently asked questions

Auto-generated from federal data
What is Dr. Eun Jin Park's medical specialty?
Dr. Eun Jin Park practices General Practice Dentistry in Manteca, CA.
Where does Dr. Eun Jin Park practice?
Dr. Eun Jin Park practices at 2288 Daniels St, Manteca, CA 953376706. Office phone: 2094565610.
What is Dr. Eun Jin Park's NPI?
Dr. Eun Jin Park's National Provider Identifier (NPI) is 1689044679, issued by NPPES.

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated Aug 16, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›