Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | A139482 | CA |
NPI | 1043519341 |
---|---|
Provider Name | Dr. Nuha Abdalla Khalil Ibrahim |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033-5312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2011 |
Last Update Date | 22/03/2021 |