# CHONG CHING TANG CORP.

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

## Provider details

- **NPI number:** 1730627092
- **Authorized official:** SHENG YUNG CHANG (OWNER)
- **Authorized official phone:** (408) 609-3391

## Contact information

- **Practice address:** 21700 STEVENS CREEK BLVD, CUPERTINO, CA 95014-1149
- **Practice address phone:** (408) 609-3391
- **Mailing address:** 21700 STEVENS CREEK BLVD, CUPERTINO, CA 95014-1149
- **Mailing address phone:** (408) 609-3391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | AC17135 | CA | Yes |

## Other

- **Enumeration date:** 02/07/2017
- **Last updated:** 02/07/2017