Abdelbaset Bin Myron, Mallek Ibrahim

Abdelbaset Bin Myron, Mallek Ibrahim is an sole proprietor health care provider with primary practice located at 1225 W 190Th St , Gardena CA 90248-4320. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Abdelbaset Bin Myron, Mallek Ibrahim can be contacted via phone (424) 354-7703.

Contact Information

Primary practice address
1225 W 190Th St Gardena CA 90248-4320
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1518723394
LBN Legal business name Abdelbaset Bin Myron, Mallek Ibrahim
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2024
Last updated Feb 28th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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