Jay Chung, MD

Rheumatology Physician · Stateline, NV

Individual Active NPI

NPI number 1760588305

Practice location

155 Hwy 50
Stateline, NV 89449
Phone
(775) 589-8900
Fax
(775) 588-7110

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NPI record

NPI
1760588305
Entity type
Individual (Type 1)
Enumeration date
September 14, 2006
Last updated
July 16, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Rheumatology Physician Primary 207RR0500X 12393 NV
Rheumatology Physician 207RR0500X A67374 CA

Mailing address

1111 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207
Phone
(530) 543-5659
Fax
(530) 541-8723

About Dr. Chung

Jay Chung, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Rheumatology Physician (code 207RR0500X). The practice location is 155 Hwy 50, Stateline, NV 89449. The NPI number 1760588305 was assigned on September 14, 2006 and the record was last updated on July 16, 2014.

Dr. Chung lists 2 licenses in the registry: #12393 (NV) for Rheumatology Physician; #A67374 (CA) for Rheumatology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jay Chung, MD?

The NPI number is 1760588305.

What is the phone number of Dr. Chung?

The phone number listed for the practice location is (775) 589-8900.

Where is Dr. Chung located?

155 Hwy 50, Stateline, NV 89449.

What is the taxonomy code for Dr. Chung?

The primary taxonomy code is 207RR0500X – Rheumatology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.