Individual
DR. ANDRE MICHAEL ISHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2221 WANKEL WAY, OXNARD, CA 93030-0192
(805) 988-9366
(805) 483-3747
Mailing address
1203 FLYNN RD UNIT 160, CAMARILLO, CA 93012-6203
(805) 804-4168
(805) 830-1177
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
G81316
CA
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
G81316
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G81316
STATE LICENSE
CA
Enumeration date
04/21/2006
Last updated
01/20/2026
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