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General NPI Number Information
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NPI Number | 1518099845
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Entity Type | Organization
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Legal Business Name | CUPERTINO MEDICAL CENTER PC
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 10050 BUBB RD SUITE #3
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City | CUPERTINO
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State | CA
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Zip | 95014-4132
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Country | US
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Telephone | 408-996-8656
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Fax | 408-996-7465
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Provider Business Mailing Address
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Address Line | 10050 BUBB RD SUITE #3
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City | CUPERTINO
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State | CA
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Zip | 95014-4132
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Country | US
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Telephone | 408-996-8656
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Fax | 408-996-7465
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YUNG CHEN
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Credential | MD
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Telephone | 408-996-8656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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