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 4 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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