Individual
DR. ETHAN ABRAHAM CANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 HALE PL STE 110, CHULA VISTA, CA 91914-3598
(619) 704-7577
(619) 704-7578
Mailing address
910 HALE PL STE 110, CHULA VISTA, CA 91914-3598
(619) 704-7577
(619) 704-7578
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A185856
CA
208000000X
Pediatrics Physician
185856
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2020
Last updated
02/11/2026
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