Active NPI
Raymond Heung, M.D.
- Clinical Medical Laboratory
- San Diego, CA
National Provider Identifier
1669699849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- CLA326560
- Legal business name
- RAYMOND HEUNG, M.D.
- Practice address
- 5222 Balboa Ave
Suite 33
San Diego, CA 92117-6904 - Phone
- (858) 874-8868
- Fax
- (858) 874-6589
- NPI assigned
- Apr 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymond Heung, M.D.
- Title
- Owner
- Phone
- (858) 874-8868
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | CLA326560 | CA | Primary |
Addresses
Primary practice location
5222 Balboa Ave
Suite 33
San Diego, CA 92117-6904
Mailing address
5222 Balboa Ave
Suite 33
San Diego, CA 92117-6904
Phone (858) 874-8868
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LAB97383F | Medicaid | CA | |
| CLA326560 | Other | CA | CA LAB ID |
National Provider Directory
National Provider DirectoryLocations
5222 Balboa Ave
Ste 33
San Diego, CA 92117
Phone (858) 874-8868
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669699849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5222 BALBOA AVE",
"address_2": "SUITE 33",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176904",
"telephone_number": "858-874-8868",
"fax_number": "858-874-6589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5222 BALBOA AVE",
"address_2": "SUITE 33",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176904",
"telephone_number": "858-874-8868",
"fax_number": "858-874-6589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMOND HEUNG, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HEUNG",
"authorized_official_first_name": "RAYMOND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "858-874-8868",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "CLA326560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LAB97383F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LAB ID",
"identifier": "CLA326560",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.