Individual
ANDREW JORDAN KANTZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92350-1716
(909) 558-4000
Mailing address
27000 W LUGONIA AVE APT 12316, REDLANDS, CA 92374-2099
(480) 234-0773
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A197949
CA
Other
Enumeration date
06/18/2018
Last updated
01/03/2025
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