Organization · Type 2 NPI

CCM Specialty Care LLC

Pediatric Cardiology Physician · Bellevue, WA

NPI number 1265225023 Active

Practice location

1940 116th Ave NE Ste 200B
Bellevue, WA 98004-3097

Fax (855) 785-8770

Mailing address

710 S 348th St Ste B
Federal Way, WA 98003-7042

Specialties and licenses

TaxonomyCodeLicense
Pediatric Cardiology Physician Primary 2080P0202XNone listed
Cardiology Technician 246W00000XNone listed
Cardiovascular Specialist/Technologist 246X00000XNone listed
Sonography Specialist/Technologist Cardiovascular 246XS1301XNone listed
Vascular Sonography Radiologic Technologist 2471V0105XNone listed

Pediatric Cardiology Physician: A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

7 other providers at this address

About NPI 1265225023

CCM Specialty Care LLC's National Provider Identifier is 1265225023, issued on May 26, 2025. The primary taxonomy on file is Pediatric Cardiology Physician (2080P0202X), and the practice location is in Bellevue, WA. The record was last updated on Sep 14, 2026.