Organization
RAYMOND HEUNG, M.D.
Active
Organization
RAYMOND HEUNG, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND HEUNG M.D. (OWNER)
(858) 874-8868
Entity
Organization
Contact information
Practice address
5222 BALBOA AVE, SUITE 33, SAN DIEGO, CA 92117-6904
(858) 874-8868
(858) 874-6589
Mailing address
5222 BALBOA AVE, SUITE 33, SAN DIEGO, CA 92117-6904
(858) 874-8868
(858) 874-6589
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLA326560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CLA326560
CA LAB ID
CA
05
—
LAB97383F
—
CA
Enumeration date
04/19/2007
Last updated
08/22/2020
Update your record
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