Ibrahimi, Isaac A

Ibrahimi, Isaac A is an individual health care provider with primary practice located at 19850 Lake Chabot Rd , Castro Valley CA 94546-4002. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ibrahimi, Isaac A can be contacted via phone (510) 582-8555.

Contact Information

Primary practice address
19850 Lake Chabot Rd Castro Valley CA 94546-4002
Phone: (510) 582-8555
Fax: (510) 581-8686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18248 California

Profile Details

NPI number 1588735849
LBN Legal business name Ibrahimi, Isaac A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Jul 7th, 2008 - about 16 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588735849 NPPES
California Other PA18248 LICENSE
California MEDICAID PA18248 LICENSE

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