Individual
AHMAD IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24159 MAGIC MOUNTAIN PKWY, VALENCIA, CA 91355-3904
(661) 222-9117
(888) 278-0126
Mailing address
PO BOX 7215, SANTA MONICA, CA 90406-7215
(661) 222-9117
(888) 278-0126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A16622
CA
Other
Enumeration date
05/21/2014
Last updated
08/30/2019
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