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Organization

JERROLD D CANTOR MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERROLD D CANTOR MD (PRESIDENT)
(714) 751-0034
Entity
Organization

Contact information

Practice address
2621 S BRISTOL ST, STE 305, SANTA ANA, CA 92704
(714) 751-0034
(714) 751-1132
Mailing address
2621 S BRISTOL ST, STE 305, SANTA ANA, CA 92704
(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
03/16/2006
Last updated
10/03/2011
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