| Doctor Name: | PARIS KANTAS |
| NPI Number: | 1114329612 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-BC |
| License Number: | 18661 |
| Business Practice Address: | 705 Palm Ave Imperial Beach, CA - 919321229 |
| Business Phone Number: | 6194245106 |
| Business Fax Number: | |
| Mailing Address: | 689 Redlands Pl, BONITA |
| State: | CA |
| Postal Code: | 919024017 |
| Phone Number: | 6198898900 |
| Fax Number: | |
| NPI Enumeration Date: | 09/16/2014 |
| NPI Last Update Date: | 09/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 18661 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |