Individual
DR. JERROLD DAVID CANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2621 S BRISTOL ST STE 305, SANTA ANA, CA 92704-5719
(714) 751-0034
(714) 751-1132
Mailing address
2621 S BRISTOL ST STE 305, SANTA ANA, CA 92704-5719
(714) 751-0034
(714) 751-1132
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G23528
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G235280
—
CA
Enumeration date
02/22/2007
Last updated
10/04/2011
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