| Doctor Name: | MONTRA M KANOK |
| NPI Number: | 1003865593 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A25649 |
| Business Practice Address: | 1030 E Foothill Blvd Ste 101 Upland, CA - 91786 |
| Business Phone Number: | 9099815859 |
| Business Fax Number: | 9099818293 |
| Mailing Address: | 1030 E Foothill Blvd, Ste 101 UPLAND |
| State: | CA |
| Postal Code: | 91786 |
| Phone Number: | 9099815859 |
| Fax Number: | 9099818293 |
| NPI Enumeration Date: | 05/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0905X |
| License Number: | A25649 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |