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Emad Ibrahim

NPI 1588199756 · on the registry since 2017 · sole proprietor

Practice

Address
268 Reservation Rd
Marina, CA 93933
Phone
(831) 384-1605
Fax
(831) 384-9662
Organisation at this address
Longs Drug Stores California Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-04-26

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