Dr Freddie M Ibrahim, MD | |
4222 Bradford St, La Verne, CA 91750-3117 | |
(909) 596-6418 | |
Not Available |
Full Name | Dr Freddie M Ibrahim |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 21 Years |
Location | 4222 Bradford St, La Verne, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598960254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A98360 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital - Baldwin Park | Baldwin park, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Dr Freddie M Ibrahim, MD 4222 Bradford St, La Verne, CA 91750-3117 Ph: (909) 596-6418 | Dr Freddie M Ibrahim, MD 4222 Bradford St, La Verne, CA 91750-3117 Ph: (909) 596-6418 |
Dr. Eduardo P Siccion, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4523 Fruit St, La Verne, CA 91750 Phone: 860-999-9999 | |
Dr. Jeffrey Scott Mason, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5670 Shemiran St, La Verne, CA 91750 Phone: 909-593-4079 Fax: 951-274-3056 | |
Latha Madhavi Achanta, MD MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2105 Foothill Blvd Ste B262, La Verne, CA 91750 Phone: 909-901-3087 | |
Mr. Sadiq Mandilawi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1234 Foothill Blvd, La Verne, CA 91750 Phone: 909-596-4879 Fax: 909-596-9199 | |
Mr. James Ito, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7343 El Nido, La Verne, CA 91750 Phone: 909-596-7245 | |
Dr. Tan Lin Wong, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Foothill Blvd Ste A, La Verne, CA 91750 Phone: 909-596-1941 Fax: 909-596-1943 |