Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | A33000 | CA |
NPI | 1457561508 |
---|---|
Provider Name | Dr. Raouf F. Iskander |
First Address | Santa Ana, CA 92704-5766 |
Second Address | Santa Ana, CA 92704-5766 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 26/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A84416 | (02) | CA |