Provider Demographics
NPI:1558609180
Name:ISKANDER, HANY MILAD TAWFIK
Entity Type:Individual
Prefix:
First Name:HANY
Middle Name:MILAD TAWFIK
Last Name:ISKANDER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E CHAPMAN AVE
Mailing Address - Street 2:APT# 52A
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-4650
Mailing Address - Country:US
Mailing Address - Phone:714-818-4028
Mailing Address - Fax:
Practice Address - Street 1:2236 SEPULVEDA BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-5301
Practice Address - Country:US
Practice Address - Phone:310-325-2813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA68541183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist