Individual
ANGELA SOONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11605 WASHINGTON PL, LOS ANGELES, CA 90066-5013
(310) 337-7115
Mailing address
11605 WASHINGTON PL, LOS ANGELES, CA 90066-5013
(310) 337-7115
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
431563
CA
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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