Healthcare Provider Details

I. General information

NPI: 1255509287
Provider Name (Legal Business Name): STEVEN F. KANTER, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2008
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15046 KARL AVE
MONTE SERENO CA
95030-2211
US

IV. Provider business mailing address

15046 KARL AVE
MONTE SERENO CA
95030-2211
US

V. Phone/Fax

Practice location:
  • Phone: 408-395-2151
  • Fax: 408-395-7227
Mailing address:
  • Phone: 408-395-2151
  • Fax: 408-395-7227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberC36003
License Number StateCA

VIII. Authorized Official

Name: DR. STEVEN FELD KANTER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 408-395-2151