MEDICARE: DR. LUCY REMSIS ISKANDAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	31587	CA
2	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1902935984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUCY REMSIS ISKANDAR

Provider Business Mailing Address
First Line	:	5199 E PACIFIC COAST HWY
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3302
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5199 E PACIFIC COAST HWY
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3302
Country	:	US
Telephone Number	:	562-365-2020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	04/07/2026

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