Kantor, Walter Stanley

Kantor, Walter Stanley is an sole proprietor health care provider with primary practice located at 23412 Moulton Pkwy Suite 100, Laguna Hills CA 92653-1732. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Kantor, Walter Stanley can be contacted via phone (949) 770-6096.

Contact Information

Primary practice address
23412 Moulton Pkwy Suite 100 Laguna Hills CA 92653-1732
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X E3318 California

Profile Details

NPI number 1356478598
LBN Legal business name Kantor, Walter Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 2007 - about 17 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 1356478598 NPPES
California Other E3318 1
California MEDICAID 000E33180 1

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