Boonyasampant, Mark
Boonyasampant, Mark is an sole proprietor health care provider with primary practice located at 101 E Valencia Mesa Dr , Fullerton CA 92835-3809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Boonyasampant, Mark can be contacted via phone (510) 388-7271.Contact Information
Primary practice address
101 E Valencia Mesa Dr
Fullerton CA 92835-3809
Phone: (510) 388-7271
Fax: (714) 446-7546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | A126158 | California |
Profile Details
| NPI number | 1396037537 |
|---|---|
| LBN Legal business name | Boonyasampant, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2011 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Gomez, Manuel Antonio
320 W Main St , White Sulphur Springs WV 24986-2414 -
Swiger, Frederick Karl
311 W 8Th St Ne , Rome GA 30165-2723 -
Kuwadekar, Aditya Sanjeev
101 E Valencia Mesa Dr , Fullerton CA 92835-3809 -
Miller, Cynthia N.
101 E. Valencia Mesa Drive , Fullerton CA 92635 -
Craig, John R.
101 E. Valenica Mesa Drive , Fullerton CA 92835 -
Chand, Eric M
1499 Fair Rd , Statesboro GA 30458-1683 -
Lorsbach, Robert B
3333 Burnet Ave Ml 1010, Cincinnati OH 45229-3026 -
Friedberg, Howard
101 E Valencia Mesa Dr. , Fullerton CA 92635