LISA CHUONG
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1164087482- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4301 X ST, SACRAMENTO, CA, 958172214
- Phone
- (916) 734-2011
Specialties & Taxonomies
Physician Assistant
License: VA #0110010808
Physician Assistant
License: DC #PA031611
Physician Assistant
License: MD #C0009744
Physician Assistant
Primary License: CA #PA67097