Healthcare Provider Details

I. General information

NPI: 1518099845
Provider Name (Legal Business Name): CUPERTINO MEDICAL CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10050 BUBB RD SUITE #3
CUPERTINO CA
95014-4132
US

IV. Provider business mailing address

10050 BUBB RD SUITE #3
CUPERTINO CA
95014-4132
US

V. Phone/Fax

Practice location:
  • Phone: 408-996-8656
  • Fax: 408-996-7465
Mailing address:
  • Phone: 408-996-8656
  • Fax: 408-996-7465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. YUNG CHEN
Title or Position: PRESIDENT
Credential: MD
Phone: 408-996-8656