Provider Demographics
NPI:1144303199
Name:ISKANDER, RAY N (MD)
Entity type:Individual
Prefix:DR
First Name:RAY
Middle Name:N
Last Name:ISKANDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RAEF
Other - Middle Name:N
Other - Last Name:ISKANDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1081 N CHINA LAKE BLVD
Mailing Address - Street 2:STE 130
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93555-3130
Mailing Address - Country:US
Mailing Address - Phone:818-244-5700
Mailing Address - Fax:818-244-6676
Practice Address - Street 1:1011 N CHINA LAKE BLVD
Practice Address - Street 2:
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-3130
Practice Address - Country:US
Practice Address - Phone:760-499-3640
Practice Address - Fax:760-499-7229
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA25024207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A250241Medicaid
A25024Medicare ID - Type Unspecified
CA00A250241Medicaid