Individual
CARLA CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9480 DOUBLE DIAMOND PKWY STE 200, RENO, NV 89521-5842
(775) 348-8800
(833) 687-1419
Mailing address
5310 KIETZKE LN STE 104, RENO, NV 89511-2043
(775) 348-8800
(833) 687-1419
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1241
NV
363AM0700X
Medical Physician Assistant
Primary
PA1241
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114228517
—
NV
Enumeration date
11/16/2010
Last updated
03/31/2025
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