Jerrold D Cantor Md Inc

LBN: Jerrold D Cantor Md Inc
Jerrold D Cantor Md Inc is an health care organization with primary practice located at 2621 S Bristol St Ste 305, Santa Ana CA 92704. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Jerrold D Cantor Md Inc can be contacted via phone (714) 751-0034, or through Cantor, Jerrold D via phone (714) 751-0034.

Contact Information

Primary practice address
2621 S Bristol St Ste 305 Santa Ana CA 92704
Phone: (714) 751-0034
Fax: (714) 751-1132
Website:
Map and Directions
Authorized official contact:
Name: Cantor, Jerrold D Doctor of Medicine (MD)
Phone: (714) 751-0034

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G23528 California

Profile Details

NPI number 1639148026
LBN Legal business name Jerrold D Cantor Md Inc
DBA Doing business as
Authorized official Cantor, Jerrold D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2006
Last updated Oct 3rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639148026 NPPES
California MEDICAID 00G235280

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