MEDICARE: DR. JOHNSON CHONG-SEIN KAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	20A 9805	CA
2	207RR0500X	Rheumatology Physician	20A 9805	CA
3	208M00000X	Hospitalist Physician	20A 9805	CA
4	207RR0500X	Rheumatology Physician	DO 1995	NV

General Provider Information

NPI Number	:	1184688061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHNSON CHONG-SEIN KAY

Provider Business Mailing Address
First Line	:	3016 W CHARLESTON BLVD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1973
Country	:	US
Telephone Number	:	702-780-7118
Fax Number	:	702-671-6430

Provider Business Practice Location Address
First Line	:	4475 S EASTERN AVE STE 2400
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-7826
Country	:	US
Telephone Number	:	702-954-7672
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	07/29/2022

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Directions to “ DR. JOHNSON CHONG-SEIN KAY ” Practice Location

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