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Individual

ALAN ARTHUR SUSA CANTILLEP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 WARNER AVE STE 218, FOUNTAIN VALLEY, CA 92708
(714) 641-9696
(714) 641-1211
Mailing address
9373 HAZARD WAY STE 200, STE 200, SAN DIEGO, CA 92123-1226
(858) 810-0000
(858) 268-1911

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A125649
CA
207RN0300X
Nephrology Physician
Primary
A125649
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A125649
LICENCE NUMBER
CA
Enumeration date
06/11/2013
Last updated
01/16/2026
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