| Jay Packer, MD | |
|
101 E. Valencia Mesa Drive, Pathology Dept, Fullerton, CA 92835 | |
| (714) 992-3907 | |
| (714) 992-3055 |
| Full Name | Jay Packer |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 101 E. Valencia Mesa Drive, Fullerton, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821033150 | NPI | - | NPPES |
| 00G421280 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G42128 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Packer, MD Po Box 749421, Los Angeles, CA 90074-9421 Ph: (310) 225-3244 | Jay Packer, MD 101 E. Valencia Mesa Drive, Pathology Dept, Fullerton, CA 92835 Ph: (714) 992-3907 |
Howard Friedberg, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 E Valencia Mesa Dr., Fullerton, CA 92635 Phone: 714-992-3712 Fax: 714-992-3055 | |
Shirin M. Farahmand, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 101 E. Valencia Mesa Dr., Fullerton, CA 92635 Phone: 714-992-3148 Fax: 714-992-3055 | |
Cynthia N. Miller, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 E. Valencia Mesa Drive, Fullerton, CA 92635 Phone: 714-992-3760 Fax: 714-992-3055 | |
Mark Boonyasampant, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 510-388-7271 Fax: 714-446-7546 | |
John R. Craig, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 E. Valenica Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3757 Fax: 714-992-3055 | |
Patrick L. Fitzgibbons, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-446-7505 Fax: 714-446-7546 |