| NPI | 1790578557 |
|---|---|
| Doing Business As | CCM ADOLESCENT MEDICINE AND PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CHENG Medical Director 425-276-1825 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 103G00000X Clinical Neuropsychologist | |
| 2080C0008X Pediatrics, Child Abuse Pediatrics | |
| 2080B0002X Pediatrics, Obesity Medicine | |
| 2080P1004X Pediatrics, Physician Nutrition Specialist | |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-11-27 |