CCM SPECIALTY CARE LLC

FEDERAL WAY, WA
NPI1790578557
Doing Business AsCCM ADOLESCENT MEDICINE AND PSYCHIATRY
Entity TypeOrganization
Authorized ContactCHRISTOPHER CHENG
Medical Director
832-489-1109
Organization Subpart ?Yes
Primary Taxonomy2080A0000X Pediatrics, Adolescent Medicine
Additional Taxonomies103G00000X Clinical Neuropsychologist
133NN1002X Nutritionist, Nutrition, Education
208000000X Pediatrics
2080B0002X Pediatrics, Obesity Medicine
2080C0008X Pediatrics, Child Abuse Pediatrics
2080P1004X Pediatrics, Physician Nutrition Specialist
Enumeration Date2025-05-26
Last Update Date2025-06-24
Business Address
CCM SPECIALTY CARE LLC
710 S 348TH ST STE B
FEDERAL WAY, WA 98003-7042
Phone number: 253-878-5193
Mailing Address
CCM SPECIALTY CARE LLC
710 S 348TH ST STE B
FEDERAL WAY, WA 98003-7042
Phone number: