05D2120965 CLIA NUMBER - RAY MUN LOO, MD MEDICAL CORPORATION

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Laboratory Demographics

CLIA Number: 05D2120965

Facility Name: RAY MUN LOO, MD MEDICAL CORPORATION

Facility Address:
2421 MARSHALL AVE
IMPERIAL, CA
ZIP 92251
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Facility Phone Number: 760 545-0022

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770750218

Taxonomy: 208000000X - Pediatrics
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.

CLIA Record

Field Name	Field Value
CLIA Number	05D2120965
LAB Type	Physician Office
Facility Name	RAY MUN LOO, MD MEDICAL CORPORATION
Street	2421 MARSHALL AVE
City	IMPERIAL
State	CA
ZIP	92251
Phone	760 545-0022
CertificateType	4
CertificateEffectiveDate	10/27/2022
CertificateExpirationDate	10/26/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024