Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CCM SPECIALTY CARE LLC
Active OrganizationCCM SPECIALTY CARE LLC is a Adolescent Medicine (Pediatrics) organization located in FEDERAL WAY, Washington. NPI 1790578557 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · FEDERAL WAY, WA
Registration Details
- NPI Number
- 1790578557
- Provider Type
- Organization
- NPI Issued
- May 26, 2025 (1.2601062405573 yrs)
- Last Updated
- Nov 27, 2025
Practice Information
- Address
-
710 S 348TH ST STE BFEDERAL WAY, WA, 980037042Browse WA providers · Browse ZIP 98003
- Phone
- 4252761825
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
- Additional Specialty
- Nutrition, Education
- Additional Specialty
- Clinical Neuropsychologist
- Additional Specialty
- 2080C0008X
- Additional Specialty
- Obesity Medicine (Pediatrics)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.