Norman Cantor, M.D., Inc.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

G12121 Issued in CA

Legal business name

NORMAN CANTOR, M.D., INC.

Practice address

1300 W. 6TH St.
San Pedro, CA 90732-3501

Phone

(310) 831-8449

Fax

(310) 831-0963

NPI assigned

Oct 4, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Norman F Cantor, M.D.

Title

Corporate President

Phone

(310) 831-8449

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1811249550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W. 6TH ST.",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W. 6TH ST.",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323501",
            "telephone_number": "310-831-8449",
            "fax_number": "310-831-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN CANTOR, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "CANTOR",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "310-831-8449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G12121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0011960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.