Emad Ibrahim, Md, Inc.

LBN: Emad Ibrahim, Md, Inc.
Emad Ibrahim, Md, Inc. is an health care organization with primary practice located at 245 Terracina Blvd Ste 206 , Redlands CA 92373-4867. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oncology, which is considered as the primary health care specialty. Emad Ibrahim, Md, Inc. can be contacted via phone (909) 793-4336, or through Ibrahim, Emad via phone (909) 557-3983.

Contact Information

Primary practice address
245 Terracina Blvd Ste 206 Redlands CA 92373-4867
Phone: (909) 793-4336
Fax: (909) 793-3325
Website:
Map and Directions
Authorized official contact:
Name: Ibrahim, Emad Doctor of Medicine (MD)
Phone: (909) 557-3983

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oncology 261QX0200X A51062 California

Profile Details

NPI number 1114371481
LBN Legal business name Emad Ibrahim, Md, Inc.
DBA Doing business as
Authorized official Ibrahim, Emad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2016
Last updated Jul 15th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114371481 NPPES
California MEDICAID 00A510620

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