Provider Type Icon

RAY MUN LOO M.D NPI 1770750218


NPI Information

NPI: 1770750218
Provider Name: RAY MUN LOO, M.D
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 05D2120965

Address:
2433 MARSHALL AVE STE 1
IMPERIAL, CA
ZIP 92251
Phone: (760) 545-0022
Get Directions

Ray Mun Loo, M.D is a pediatrics in Imperial, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Ray Mun Loo, M.D NPI is 1770750218. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2433 MARSHALL AVE STE 1
IMPERIAL, CA
ZIP 92251-599
Phone: (760) 545-0022
Fax: (760) 545-0050

The CLIA number assigned to this NPI record is 05D2120965 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 10/25/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA101118CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11477747681MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.