Organization · Type 2 NPI

CCM Specialty Care LLC

Pediatric Allergy/Immunology Physician · Bellevue, WA

NPI number 1336932193 Active

Practice location

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

Call (425) 276-1825 Map

Fax (855) 785-8770

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
General Practice Registered Nurse	163WG0000X	None listed
Infusion Therapy Registered Nurse	163WI0500X	None listed
Pediatric Registered Nurse	163WP0200X	None listed
Ambulatory Care Registered Nurse	163WP2201X	None listed
Pediatrics Physician	208000000X	None listed
Pediatric Allergy/Immunology Physician Primary	2080P0201X	None listed
Pulmonary Function Technologist	225B00000X	None listed

Pediatric Allergy/Immunology Physician: A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

7 other providers at this address

NPI record

NPI: 1336932193
Entity type: Organization (Type 2)
Issued: May 26, 2025
Last updated: Sep 14, 2026
Status: Active
Subpart: Yes of CCM Specialty Care LLC

Other names

CCM Pediatric Allergy Immunology · doing business as

Authorized official

Dr. Chrisopher Cheng, MD
Medical Director
(425) 276-1825

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336932193

CCM Specialty Care LLC's National Provider Identifier is 1336932193, issued on May 26, 2025. The primary taxonomy on file is Pediatric Allergy/Immunology Physician (2080P0201X), and the practice location is in Bellevue, WA. The record was last updated on Sep 14, 2026.