Individual
CHRISTINE IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9911 W PICO BLVD STE 200, LOS ANGELES, CA 90035-2736
(310) 551-2612
(310) 909-8848
Mailing address
9911 W PICO BLVD STE 200, LOS ANGELES, CA 90035-2736
(310) 551-2612
(310) 909-8848
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A87619
CA
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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