Provider Demographics
NPI:1912239948
Name:ISKANDER, RAYMOND R (DC)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:R
Last Name:ISKANDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23018 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1106
Mailing Address - Country:US
Mailing Address - Phone:818-225-8444
Mailing Address - Fax:818-591-2520
Practice Address - Street 1:23018 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1106
Practice Address - Country:US
Practice Address - Phone:818-225-8444
Practice Address - Fax:818-591-2520
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21005111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor