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ISKANDER MEDICAL GROUP INC. NPI 1245420199


NPI Information

NPI: 1245420199
Provider Name: ISKANDER MEDICAL GROUP, INC.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D0916038

Address:
4477 W 118TH ST STE 301
HAWTHORNE, CA
ZIP 90250
Phone: (310) 978-8026
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ISKANDER MEDICAL GROUP, INC. is a pediatrics in Hawthorne, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ISKANDER MEDICAL GROUP, INC. NPI is 1245420199. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4477 W 118TH ST STE 301
HAWTHORNE, CA
ZIP 90250-258
Phone: (310) 978-8026
Fax: (310) 978-1408

The provider's authorized official is Mona Youssef Iskander .
The authorized official title is President and has the following contact phone number (310) 978-8026.

The CLIA number assigned to this NPI record is 05D0916038 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 4/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA39011CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A390110OTHERCALIFORNIAMEDI-CAL
200A390110OTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
300A390110OTHERCALIFORNIACCS
41679580880OTHERCALIFORNIAINDIVIDUAL NPI NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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