| Rosanna Iskander Md Inc. | |
|
1330 W Covina Blvd Ste 102 San Dimas CA 91773 | |
| (909) 592-3323 | |
| Not Available |
| Full Name | Rosanna Iskander Md Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1330 W Covina Blvd Ste 102, San Dimas, California |
| Authorized Official Name and Position | Rosanna Iskander (PRESIDENT) |
| Authorized Official Contact | 9095923323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosanna Iskander Md Inc. 1330 W Covina Blvd Ste 102 San Dimas CA 91773-3200 Ph: (909) 592-3323 | Rosanna Iskander Md Inc. 1330 W Covina Blvd Ste 102 San Dimas CA 91773 Ph: (909) 592-3323 |
| NPI Number | 1386721959 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 07/12/2019 |
| Medicare PECOS PAC ID | 6305029950 |
|---|---|
| Medicare Enrollment ID | O20110321000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386721959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rosanna W Iskander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265500896 PECOS PAC ID: 2466428214 Enrollment ID: I20040902001515 |
| Provider Name | Joey Asfahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639706211 PECOS PAC ID: 4183005341 Enrollment ID: I20220719001856 |
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