Individual
DR. AZIZ IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15717 PARAMOUNT BLVD., PARAMOUNT, CA 90723-4332
(562) 531-2231
(562) 231-8845
Mailing address
15717 PARAMOUNT BLVD., PARAMOUNT, CA 90723-4332
(562) 531-2231
(562) 231-8845
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C-6980
AR
208000000X
Pediatrics Physician
Primary
C165562
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11193000040
QUALCHOICE
AR
05
—
112324001
—
AR
01
—
1220100
UHC
AR
01
—
295064
HEALTHLINK
AR
01
—
4207531
AETNA
AR
01
—
50360
BLUE CROSS
AR
Enumeration date
06/14/2006
Last updated
04/28/2020
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