Individual
TIMOTHY GILES CANTY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3030 CHILDRENS WAY, STE 401, SAN DIEGO, CA 92123-4232
(858) 966-6717
(858) 966-6720
Mailing address
1846 CASTELLANA RD, LA JOLLA, CA 92037-3840
(858) 454-4550
(858) 454-1478
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
G14418
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G144180
—
CA
Enumeration date
09/26/2006
Last updated
07/09/2007
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