Cantor, Jerrold David
Cantor, Jerrold David is an sole proprietor health care provider with primary practice located at 2621 S Bristol St Ste 305 , Santa Ana CA 92704-5719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Cantor, Jerrold David can be contacted via phone (714) 751-0034.Contact Information
Primary practice address
2621 S Bristol St Ste 305
Santa Ana CA 92704-5719
Phone: (714) 751-0034
Fax: (714) 751-1132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G23528 | California |
Profile Details
| NPI number | 1063547792 |
|---|---|
| LBN Legal business name | Cantor, Jerrold David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Oct 4th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063547792 | NPPES |
| California | MEDICAID | 00G235280 |
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