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1225405921
SOPHAN CHENG
LOS ANGELES, CA
NPI
1225405921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95001820)
Enumeration Date
2015-08-28
Last Update Date
2016-06-24
Business Address
-- SOPHAN CHENG
808 W. 58TH STREET
LOS ANGELES, CA 90037
Phone number: 323-541-1600
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Mailing Address
-- SOPHAN CHENG
16865 HARVEST LN
HUNTINGTON BEACH, CA 92649-4088
Phone number: 714-840-8859
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