Individual
MADHAVA KANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3210 VAL VERDE AVE, LONG BEACH, CA 90808-4454
(520) 282-3996
Mailing address
3210 VAL VERDE AVE, LONG BEACH, CA 90808-4454
(520) 282-3996
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000183
CA
Other
Enumeration date
09/09/2014
Last updated
03/14/2024
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