OrganizationActive
Ccm Specialty Care LLC
NPI 1336932193 · Pediatric Allergy/Immunology Physician · Bellevue, WA
Provider details
- NPI number
- 1336932193
- Entity type
- Organization
- Primary specialty
- Pediatric Allergy/Immunology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Ccm Specialty Care LLC
- Organization subpart
- Yes
- Authorized official
- Chrisopher Cheng, Medical Director(425) 276-1825
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Pediatric Registered Nurse163WP0200X
Nursing Service Providers
- General Practice Registered Nurse163WG0000X
Nursing Service Providers
- Infusion Therapy Registered Nurse163WI0500X
Nursing Service Providers
- Ambulatory Care Registered Nurse163WP2201X
Nursing Service Providers
- Pulmonary Function Technologist225B00000X
Practice location
1940 116th Ave Ne Ste 200b
Bellevue, WA 98004-3097
Phone: (425) 276-1825
Fax: (855) 785-8770
Approximate (ZIP-level) locationGet directions
Mailing address
710 S 348th St Ste B
Federal Way, WA 98003-7042
Other names (DBA / former)
- Doing business as
- Ccm Pediatric Allergy Immunology
Registry dates
- Enumerated
- 2025-05-26
- Last updated
- 2026-05-14
- Certified
- 2026-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.