Basic Information
| Provider Information | |||||||||
| NPI: | 1184688061 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KAY | ||||||||
| FirstName: | JOHNSON | ||||||||
| MiddleName: | CHONG-SEIN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3016 W CHARLESTON BLVD STE 100 | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891021973 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7027807118 | ||||||||
| FaxNumber: | 7026716430 | ||||||||
| Practice Location | |||||||||
| Address1: | 4475 S EASTERN AVE STE 2400 | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891197826 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7029547672 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2006 | ||||||||
| LastUpdateDate: | 07/29/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/29/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 20A 9805 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RR0500X | 20A 9805 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | 208M00000X | 20A 9805 | CA | N | Allopathic & Osteopathic Physicians | Hospitalist | 207RR0500X | DO 1995 | NV | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.