IndividualActive
Jay Chung, MD
NPI 1760588305 · Rheumatology Physician · Stateline, NV
Provider details
- NPI number
- 1760588305
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A67374 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
155 Hwy 50
Stateline, NV 89449
Phone: (775) 589-8900
Fax: (775) 588-7110
Approximate (ZIP-level) locationGet directions
Mailing address
1111 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2014-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.