NPIMap

Organization Active NPI

Ray Mun Loo MD Medical Corporation

  • Primary Care Clinic/Center
  • El Centro, CA
National Provider Identifier
1386013019
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A101118 Issued in CA
Legal business name
RAY MUN LOO MD MEDICAL CORPORATION
Practice address
385 W Main St
El Centro, CA 92243-3040
Phone
(760) 355-8817
NPI assigned
Sep 23, 2015
Last updated
Oct 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ray Mun Loo I, M.D
Title
MD
Phone
(760) 355-8817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A101118 CA Primary

Addresses

Primary practice location

385 W Main St
El Centro, CA 92243-3040

Mailing address

PO Box 1014
El Centro, CA 92244-1014
Phone (760) 355-8817

Other identifiers 1

IdentifierTypeStateIssuer
434265499MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1386013019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922441014",
            "telephone_number": "760-355-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 W MAIN ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433040",
            "telephone_number": "760-355-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY MUN LOO MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "LOO",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "MUN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "760-355-8817",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A101118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434265499",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.