Provider Demographics
NPI:1518099845
Name:CUPERTINO MEDICAL CENTER PC
Entity Type:Organization
Organization Name:CUPERTINO MEDICAL CENTER PC
Other - Org Name:CMC OCCUPATIONAL MEDICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-996-8656
Mailing Address - Street 1:10050 BUBB RD
Mailing Address - Street 2:SUITE #3
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-4132
Mailing Address - Country:US
Mailing Address - Phone:408-996-8656
Mailing Address - Fax:408-996-7465
Practice Address - Street 1:10050 BUBB RD
Practice Address - Street 2:SUITE #3
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-4132
Practice Address - Country:US
Practice Address - Phone:408-996-8656
Practice Address - Fax:408-996-7465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Not Answered261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine