Individual
KHALDA IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-7419
(310) 267-2680
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8732
Taxonomy
Speciality
Code
Description
License number
State
207ZC0008X
Clinical Informatics (Pathology) Physician
Primary
A168642
CA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
05/21/2014
Last updated
08/05/2022
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