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Organization

CCM SPECIALTY CARE LLC

Active
Parent organization
CCM SPECIALTY CARE LLC
Other names
CCM Pediatric Cardiology
Organization subpart
Yes

Provider details

NPI number
Legal business name
CCM SPECIALTY CARE LLC
Authorized official
DR. CHRISTOPHER CHENG MD (MEDICAL DIRECTOR)
(425) 276-1825
Entity
Organization

Contact information

Practice address
1940 116TH AVE NE STE 200B, BELLEVUE, WA 98004-3097
(425) 276-1825
(855) 785-8770
Mailing address
710 S 348TH ST STE B, FEDERAL WAY, WA 98003-7042
(425) 276-1825

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
246W00000X
Cardiology Technician
246X00000X
Cardiovascular Specialist/Technologist
246XS1301X
Sonography Specialist/Technologist Cardiovascular
2471V0105X
Vascular Sonography Radiologic Technologist

Other

Enumeration date
05/26/2025
Last updated
05/14/2026
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