Cantillep, Alan Arthur Susa

Cantillep, Alan Arthur Susa is an sole proprietor health care provider with primary practice located at 11100 Warner Ave Ste 218 , Fountain Valley CA 92708. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Cantillep, Alan Arthur Susa can be contacted via phone (714) 641-9696.

Contact Information

Primary practice address
11100 Warner Ave Ste 218 Fountain Valley CA 92708
Phone: (714) 641-9696
Fax: (714) 641-1211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A125649 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A125649 California

Profile Details

NPI number 1639517808
LBN Legal business name Cantillep, Alan Arthur Susa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2013
Last updated Nov 13th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639517808 NPPES
California Other A125649 LICENCE NUMBER

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