NPI 1033685755

Mark Ibrahim

Practitioner Home Health Aide Corona, CA

Practice location

Address: 1120 Viewcrest CT, Corona, CA 92882-8908
Phone: (347) 817-0674

Registered specialties (2)

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Registry record

NPI: 1033685755
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2018
Record last updated: 4 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.