# CUPERTINO MEDICAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558524785
- **Authorized official:** DR. YUNG CHEN M.D. (OWNER)
- **Authorized official phone:** (408) 996-8656

## Contact information

- **Practice address:** 10050 BUBB RD, SUITE 3, CUPERTINO, CA 95014-4160
- **Practice address phone:** (408) 996-8656
- **Mailing address:** PO BOX 2579, CUPERTINO, CA 95015-2579
- **Mailing address phone:** (408) 996-8656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | A74211 | CA | Yes |

## Other

- **Enumeration date:** 07/08/2008
- **Last updated:** 05/04/2009