Healthcare Provider Details

I. General information

NPI: 1639377450
Provider Name (Legal Business Name): RITA B. CHUANG, MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2629 W HORIZON RIDGE PKWY 140
HENDERSON NV
89052-2897
US

IV. Provider business mailing address

2629 W HORIZON RIDGE PKWY 140
HENDERSON NV
89052-2897
US

V. Phone/Fax

Practice location:
  • Phone: 702-818-3207
  • Fax: 702-818-4759
Mailing address:
  • Phone: 702-818-3207
  • Fax: 702-818-4759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9659
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number8906
License Number StateNV

VIII. Authorized Official

Name: DR. RITA BELLA CHUANG
Title or Position: MD
Credential: MD
Phone: 702-818-3207