| Doctor Name: | MAHMOUD ALI IBRAHIM |
| NPI Number: | 1063451771 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A42803 |
| Business Practice Address: | 7974 Haven Ave Ste. 290 Rancho Cucamonga, CA - 917303052 |
| Business Phone Number: | 9099445553 |
| Business Fax Number: | 9099443339 |
| Mailing Address: | 7974 Haven Ave, Ste. 290 RANCHO CUCAMONGA |
| State: | CA |
| Postal Code: | 917303052 |
| Phone Number: | 9099445553 |
| Fax Number: | 9099443339 |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 11/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0205X |
| License Number: | A42803 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Pediatric Endocrinology |
| Taxonomy Definition: | A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |