Samuel Ibrahim, Md, INC

NPI #1184081432 in La Quinta, California

Provider Information

NPI Number
1184081432
Entity Type
Organization
Organization Name
Samuel Ibrahim, Md, INC
Primary Specialty
Surgery
Enumeration Date
Jan 18, 2016
Last Updated
Jan 18, 2016

Practice Location

Address
79180 CORPORATE CENTER DR
Address 2
SUITE 101
ZIP Code
92253-7235
Phone
(760) 837-7910

Authorized Official

Name
DR. SAMUEL IBRAHIM, MD
Title
OWNER
Phone
(440) 241-3033

Specialties & Taxonomy Codes

Specialty
Surgery

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