Organization
CCM SPECIALTY CARE LLC
Active
Parent organization
CCM SPECIALTY CARE LLC
Other names
CCM Pediatric Allergy Immunology
Organization subpart
Yes
Provider details
NPI number
Legal business name
CCM SPECIALTY CARE LLC
Authorized official
DR. CHRISOPHER CHENG MD (MEDICAL DIRECTOR)
(425) 276-1825
Entity
Organization
Contact information
Practice address
710 S 348TH ST STE B, FEDERAL WAY, WA 98003-7042
(425) 276-1825
Mailing address
710 S 348TH ST STE B, FEDERAL WAY, WA 98003-7042
(425) 276-1825
(206) 899-1299
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
163WP0200X
Pediatric Registered Nurse
—
—
163WP2201X
Ambulatory Care Registered Nurse
—
—
208000000X
Pediatrics Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
—
—
225B00000X
Pulmonary Function Technologist
—
—
Other
Enumeration date
05/26/2025
Last updated
11/27/2025
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