Packer, Jay

Packer, Jay is an individual health care provider with primary practice located at 101 E. Valencia Mesa Drive Pathology Dept, Fullerton CA 92835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Packer, Jay can be contacted via phone (714) 992-3907.

Contact Information

Primary practice address
101 E. Valencia Mesa Drive Pathology Dept Fullerton CA 92835
Phone: (714) 992-3907
Fax: (714) 992-3055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G42128 California

Profile Details

NPI number 1821033150
LBN Legal business name Packer, Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Feb 6th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821033150 NPPES
California MEDICAID 00G421280

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