Timothy Giles Canty SR.
Pediatric Surgery
3030 Childrens Way Ste 401
San Diego
, California 92123-4232
Timothy Giles Canty SR.
Pediatric Surgery
3030 Childrens Way Ste 401
San Diego
, California 92123-4232
(858) 454-1478
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Timothy Giles Canty SR.
- 1846 Castellana Rd
- La Jolla, CA
- Zip : 92037-3840
- Fax : (858) 454-1478
- Phone : (858) 454-4550
Second Address
- Timothy Giles Canty SR.
- 3030 Childrens Way Ste 401
- San Diego, CA
- Zip : 92123-4232
- Fax : (858) 966-6720
- Phone : (858) 966-6717
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | G14418 | CA |
National Provider Identifier
| NPI | 1609977859 |
|---|---|
| Provider Name | Timothy Giles Canty SR. |
| First Address | La Jolla, CA 92037-3840 |
| Second Address | San Diego, CA 92123-4232 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G144180 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.