Provider Demographics
NPI:1093980716
Name:URBI, RAYMUND
Entity Type:Individual
Prefix:MR
First Name:RAYMUND
Middle Name:
Last Name:URBI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32310 ALVARADO BLVD
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-4034
Mailing Address - Country:US
Mailing Address - Phone:510-471-8090
Mailing Address - Fax:510-471-8090
Practice Address - Street 1:32310 ALVARADO BLVD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-4034
Practice Address - Country:US
Practice Address - Phone:510-471-8090
Practice Address - Fax:510-471-8090
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6724156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician