Organization
CHONG CHING TANG CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENG YUNG CHANG (OWNER)
(408) 609-3391
Entity
Organization
Contact information
Practice address
21700 STEVENS CREEK BLVD, CUPERTINO, CA 95014-1149
(408) 609-3391
Mailing address
21700 STEVENS CREEK BLVD, CUPERTINO, CA 95014-1149
(408) 609-3391
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
AC17135
CA
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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