Provider Demographics
NPI:1619844412
Name:CHONG, HUAN WAI PRISCILLIA
Entity type:Individual
Prefix:
First Name:HUAN WAI
Middle Name:PRISCILLIA
Last Name:CHONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PRISCILLIA
Other - Middle Name:
Other - Last Name:CHONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PE, PMP
Mailing Address - Street 1:3783 THERMIAC GULF WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-7646
Mailing Address - Country:US
Mailing Address - Phone:916-896-8411
Mailing Address - Fax:
Practice Address - Street 1:3783 THERMIAC GULF WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-7646
Practice Address - Country:US
Practice Address - Phone:916-896-8411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter