Organization
RAY MUN LOO MD MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY MUN LOO I M.D (MD)
(760) 355-8817
Entity
Organization
Contact information
Practice address
385 W MAIN ST, EL CENTRO, CA 92243-3040
(760) 355-8817
Mailing address
PO BOX 1014, EL CENTRO, CA 92244-1014
(760) 355-8817
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A101118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434265499
—
CA
Enumeration date
09/23/2015
Last updated
10/05/2015
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