Individual
IBRAHIM RAEF HAJJALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSC
Contact information
Practice address
1441 EASTLAKE AVE STE 2424K, LOS ANGELES, CA 90089-1020
(626) 689-1931
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(626) 457-6601
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
A186520
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A186520
CA
390200000X
Student in an Organized Health Care Education/Training Program
TL.0006862
CO
Other
Enumeration date
07/11/2019
Last updated
10/14/2023
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