Lisa Chuong
Physician Assistant in Sacramento, CA. Individual provider (NPI-1).
NPI number1164087482
StatusActive
Last updated in NPPESApr 23, 2026
Details
- NPI
- 1164087482
- Entity type
- Individual (NPI-1)
- Name
- Lisa Chuong
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2019
- Certification date
- Apr 23, 2026
- Last updated
- Apr 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA67097 | CA | Yes |
| 363A00000X | Physician Assistant | 0110010808 | VA | |
| 363A00000X | Physician Assistant | PA031611 | DC | |
| 363A00000X | Physician Assistant | C0009744 | MD |
Practice location
4301 X StSacramento, CA 95817-2214
Phone 916-734-2011
Mailing address
4301 X StSacramento, CA 95817-2214
Phone 916-734-2011
Other practice locations
110 Irving St Nw # 3b19
Washington, DC 20010-3017
Washington, DC 20010-3017
Phone 202-877-7011 · Fax 202-877-7012
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