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Search › California › 207RP1001X

Jacklynn Ibrahim

NPI 1063032662 · on the registry since 2020

Practice

Address
4955 Van Nuys Blvd Ste 502
Sherman Oaks, CA 91403
Phone
(818) 325-0200
Organisation at this address
Mark Greenspan
Addison Asc Llc
Neurorelief Llc
Epic Cardiology
Larisse Lee Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
98

Registry record

Primary taxonomy
207RP1001X
207RP1001X
Also registered as
207RC0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California