Individual
DR. JOHN LEON EBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 16TH ST # C2304, SANTA MONICA, CA 90404-1249
(310) 319-4698
Mailing address
1250 16TH ST RM 2304, SANTA MONICA, CA 90404-1249
(310) 319-4698
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
142685
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2013
Last updated
04/15/2019
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