Mark Boonyasampant, MD
Mark Boonyasampant, MD is a Pathology in Fullerton, California. Graduated from New York Medical College in 2011, 15 years ago. Practices with The Pathology Group Inc, a 6-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 15
- Trained at
- New York Medical College
- Licensed in
- CA
- In the registry since
- 2011
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
101 E Valencia Mesa DrFullerton, CA 92835-3809
Phone: (510) 388-7271
Fax: (714) 446-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X · Licence A126158 (CA) |
|---|
Record details
| NPI number | 1396037537 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | May 6, 2011 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
Medicare enrollment
| Medicare specialty | PATHOLOGY |
|---|---|
| Medical school | NEW YORK MEDICAL COLLEGE |
| Graduated | 2011 (15 years in practice) |
| Group practice | The Pathology Group Inc — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fullerton
-
John R. Craig, MD
101 E Valenica Mesa Dr, Fullerton, CA 92835 · (714) 992-3757
-
Shirin M. Farahmand, MD
101 E Valencia Mesa Dr, Fullerton, CA 92635 · (714) 992-3148
-
Howard Friedberg, MD
101 E Valencia Mesa Dr, Fullerton, CA 92635 · (714) 992-3712
-
Cynthia N. Miller, MD
101 E Valencia Mesa Dr, Fullerton, CA 92635 · (714) 992-3760