Provider Demographics
NPI:1669670758
Name:TSONG, CHERIE JANET (MD)
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:JANET
Last Name:TSONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 S CHAPEL AVE
Mailing Address - Street 2:UNIT X
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-3977
Mailing Address - Country:US
Mailing Address - Phone:949-400-3233
Mailing Address - Fax:
Practice Address - Street 1:116 S CHAPEL AVE
Practice Address - Street 2:UNIT X
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3977
Practice Address - Country:US
Practice Address - Phone:949-400-3233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA106433207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVLL1760OtherNV MEDICAL LIC