Search › California › 363A00000X
Islam Ibrahim, PA-C
NPI 1700428711 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1415 Ledgestone Ln
Pomona, CA 91767 - Phone
- (305) 528-1507
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 207QA0505X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-25
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