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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK BOONYASAMPANT, M.D.

Active Sole Proprietor

MARK BOONYASAMPANT, M.D. is a Anatomic Pathology & Clinical Pathology healthcare provider located in FULLERTON, California. NPI 1396037537 is currently active in the NPPES registry. Verify at CMS.

Anatomic Pathology & Clinical Pathology · FULLERTON, CA

Registration Details

NPI Number
1396037537
Provider Type
Individual
Gender
Male
NPI Issued
May 6, 2011 (15.318121477195 yrs)
Last Updated
Jul 21, 2022
License
A126158 (CA)
Sole Proprietor
Yes

Practice Information

Address
101 E VALENCIA MESA DR
FULLERTON, CA, 928353809
Browse CA providers · Browse ZIP 92835
Phone
5103887271
Fax
7144467546
Primary Specialty
Anatomic Pathology & Clinical Pathology
207ZP0102X

Other Anatomic Pathology & Clinical Pathology Providers in FULLERTON, CA

Name Credential NPI
SHIRIN M. FARAHMAND M.D. 1255384905
JOHN R. CRAIG M.D. 1538112206
PATRICK L. FITZGIBBONS M.D. 1568415743
HOWARD FRIEDBERG M.D. 1205889672
CYNTHIA N. MILLER M.D. 1275588527
JAY PACKER M.D. 1821033150
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.