Mark Boonyasampant
ActiveCalifornia license A126158
License
- Licensed by
- Medical Board of California
- License number
- A126158
- Status
- Active (Current)
- First issued
- June 14, 2013
- Expires
- January 31, 2027
- License holder
- Mark Boonyasampant
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
832 Grandview Ave
Fullerton, CA 92832-1114
Fullerton, CA 92832-1114
Orange County