Kantor, Jason C

Kantor, Jason C is an individual health care provider with primary practice located at 1300 W 7Th St , San Pedro CA 90732-3505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kantor, Jason C can be contacted via phone (310) 832-3311.

Contact Information

Primary practice address
1300 W 7Th St San Pedro CA 90732-3505
Phone: (310) 832-3311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X G40284 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G40284 California

Profile Details

NPI number 1356323828
LBN Legal business name Kantor, Jason C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated May 8th, 2014 - about 11 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 1356323828 NPPES
California Other 00G402840 BLUE SHIELD
California MEDICAID 00G402840 BLUE SHIELD

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