Mark Ibrahim, is a
Home Health Aide based in Corona, California. Mark Ibrahim is licensed to practice in * (Not Available) (license number ) and his current practice location is
1120 Viewcrest Ct, Corona, California. He can be reached at his office (for appointments etc.) via phone at
(347) 817-0674.
NPI number for Mark Ibrahim is 1033685755 and his current mailing address is 1120 Viewcrest Ct, Corona, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033685755.
Healthcare Provider's Profile
| Full Name | Mark Ibrahim |
|---|
| Gender | Male |
|---|
| Speciality | Home Health Aide |
|---|
| Location | 1120 Viewcrest Ct, Corona, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033685755
- Provider Enumeration Date: 10/19/2018
- Last Update Date: 02/04/2020
Medical Identifiers
Medical identifiers for Mark Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033685755 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 374U00000X | Home Health Aide | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Ibrahim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark Ibrahim,
1120 Viewcrest Ct,
Corona, CA 92882-8908
Ph: (347) 817-0674 | Mark Ibrahim,
1120 Viewcrest Ct,
Corona, CA 92882-8908
Ph: (347) 817-0674 |
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