Organization
ISKANDER MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA YOUSSEF ISKANDER MD (PRESIDENT)
(310) 978-8026
Entity
Organization
Contact information
Practice address
4477 W 118TH ST STE 301, HAWTHORNE, CA 90250-2258
(310) 978-8026
(310) 978-1408
Mailing address
4477 W 118TH ST STE 301, HAWTHORNE, CA 90250-2258
(310) 978-8026
(310) 978-1408
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A39011
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A390110
BLUE SHIELD OF CALIFORNIA
CA
01
—
1679580880
INDIVIDUAL NPI NUMBER
CA
Enumeration date
07/26/2007
Last updated
04/17/2018
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