Healthcare Provider Details

I. General information

NPI: 1215163472
Provider Name (Legal Business Name): GREGORY I KANTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 SAN JOSE ST
SALINAS CA
93901-3901
US

IV. Provider business mailing address

250 SAN JOSE ST
SALINAS CA
93901-3901
US

V. Phone/Fax

Practice location:
  • Phone: 831-424-7389
  • Fax: 831-758-0547
Mailing address:
  • Phone: 831-424-7389
  • Fax: 831-758-0547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA113982
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: