Healthcare Provider Details

I. General information

NPI: 1689513608
Provider Name (Legal Business Name): CAPSTONE METROPOLITAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6340 BELL STATION RD
GLENN DALE MD
20769-9143
US

IV. Provider business mailing address

6340 BELL STATION RD
GLENN DALE MD
20769-9143
US

V. Phone/Fax

Practice location:
  • Phone: 571-330-4365
  • Fax:
Mailing address:
  • Phone: 571-330-4365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: JAYLEN NCHANG
Title or Position: PRIMARY
Credential: LEAD RISK ASSESSOR
Phone: 571-330-4365