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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063547792 NPPES
California MEDICAID 00G235280

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