Individual
CHENPANG SOONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2001 SANTA MONICA BLVD STE 280W, SANTA MONICA, CA 90404-2172
(310) 829-7678
(310) 829-6889
Mailing address
88 ARSENAL YARDS BLVD APT 505, WATERTOWN, MA 02472-5046
(205) 482-8611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD460574
PA
207RI0011X
Interventional Cardiology Physician
Primary
A176799
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2014
Last updated
01/25/2024
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