| Doctor Name: | DR. SOPHEAR MUONG |
| NPI Number: | 1477761229 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 31625 Highway 101 S Soledad, CA - 939609529 |
| Business Phone Number: | 8316785500 |
| Business Fax Number: | |
| Mailing Address: | 31625 Highway 101 S, P.o. Box 1080 SOLEDAD |
| State: | CA |
| Postal Code: | 939609529 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2007 |
| NPI Last Update Date: | 09/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |