Full Name | Paris Kantas |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 689 Redlands Pl, Bonita, California |
Authorized Official Name and Position | Paris Jon Kantas (FAMILY NURSE PRACTITIONER) |
Authorized Official Contact | 6198898900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Paris Kantas 689 Redlands Pl Bonita CA 91902-4017 Ph: (619) 889-8900 | Paris Kantas 689 Redlands Pl Bonita CA 91902-4017 Ph: (619) 889-8900 |
NPI Number | 1396050753 |
---|---|
Provider Enumeration Date | 08/10/2010 |
Last Update Date | 08/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396050753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 18661 (California) | Primary |
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