Individual
HASSANA AISHA IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 301-6800
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 301-6800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
332706
LA
2085R0202X
Diagnostic Radiology Physician
Primary
A104941
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1049410
—
CA
Enumeration date
06/30/2007
Last updated
08/10/2022
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