Dr. Andre Michael Ishak
Surgery of the Hand Orthopaedic Hand Surgeon
2221 Wankel Way
Oxnard
, California 93030-0192
Dr. Andre Michael Ishak
Surgery of the Hand Orthopaedic Hand Surgeon
2221 Wankel Way
Oxnard
, California 93030-0192
(805) 830-1177
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About
Features
Specialties
- Orthopaedic Hand Surgeon
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Dr. Andre Michael Ishak
- 5720 Ralston St Ste 200
- Ventura, CA
- Zip : 93003-7844
- Fax : (805) 830-1177
- Phone : (805) 804-4168
Second Address
- Dr. Andre Michael Ishak
- 2221 Wankel Way
- Oxnard, CA
- Zip : 93030-0192
- Fax : (805) 483-3747
- Phone : (805) 988-9366
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207XS0106X | Orthopaedic Hand Surgeon | G81316 | CA |
| Y | 2086S0105X | Surgery of the Hand | G81316 | CA |
National Provider Identifier
| NPI | 1639135445 |
|---|---|
| Provider Name | Dr. Andre Michael Ishak |
| First Address | Ventura, CA 93003-7844 |
| Second Address | Oxnard, CA 93030-0192 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/04/2006 |
| Last Update Date | 27/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| BI4576320 | DEA (01) | CA |
| G81316 | STATE LICENSE (01) | CA |
| G98160 | (02) | 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.