Michael Mamdouh Aziz Ibrahim

Pharmacist · Yucaipa, CA

Individual Active NPI

NPI number 1811200215

Practice location

34420 Yucaipa Blvd
Yucaipa, CA 92399-2412
Phone
(909) 797-1312
Fax
(909) 797-3158

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NPI record

NPI
1811200215
Entity type
Individual (Type 1)
Enumeration date
July 14, 2010
Last updated
July 14, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 63426 CA

Mailing address

1400 Barton Rd Apt 2713
Redlands, CA 92373-5443
Phone
(909) 797-1312
Fax
(909) 797-3158

About Michael Ibrahim

Michael Mamdouh Aziz Ibrahim is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 34420 Yucaipa Blvd, Yucaipa, CA 92399-2412. The NPI number 1811200215 was assigned on July 14, 2010 and the record was last updated on July 14, 2010.

Michael Ibrahim lists a license in the registry: #63426 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Mamdouh Aziz Ibrahim?

The NPI number is 1811200215.

What is the phone number of Michael Ibrahim?

The phone number listed for the practice location is (909) 797-1312.

Where is Michael Ibrahim located?

34420 Yucaipa Blvd, Yucaipa, CA 92399-2412.

What is the taxonomy code for Michael Ibrahim?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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