MRS. MAISY S IBRAHIM


Address: 41990 Cook St, D 402, Palm Desert, CA 92211-6100
Phone: 7603400303

MRS. MAISY S IBRAHIM (NPI# 1619010840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619010840
Entity Type Individual
Full Name MRS. MAISY S IBRAHIM
Credential D.D.S
Practice Address 41990 Cook St
D 402
Palm Desert
CA 92211-6100
Mailing Address 41990 Cook Street
D 402
Palm Desert
CA 92211
Practice Telephone 7603400303
Practice Fax Number 7603462304
Mailing Telephone 7603400303
Mailing Fax Number 7603462304
Enumeration Date 2007-02-15
Last Update Date 2011-06-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
43447 CA Dental Providers

Office Location

Street Address 41990 COOK ST
D 402
City PALM DESERT
State CA
Zip Code 92211-6100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275517237 John N Taylor Family Medicine 41990 Cook St, Suite 901, Palm Desert, CA 92211-6100 2005-12-02
1487044665 Hany Guirgis Specialist 41990 Cook St, Suite C-301, Palm Desert, CA 92211-6100 2015-01-27
1912397290 Eisenhower Medical Center Clinic/Center 41990 Cook St, Suite A102, Palm Desert, CA 92211-6100 2015-01-26
1265848683 Healthy Living At Home - Palm Desert, LLC. Home Health 41990 Cook St, Building 1, Suite 801a, Palm Desert, CA 92211-6100 2014-07-07
1427319763 Maisy Ibrahim Dental Corporation Durable Medical Equipment & Medical Supplies 41990 Cook St, Suite D402, Palm Desert, CA 92211-6100 2012-06-04
1861783599 Eyelid Institute Inc Ophthalmology 41990 Cook St, Suite F1007, Palm Desert, CA 92211-6100 2011-04-28
1073759262 John N. Mckelvie Psychologist 41990 Cook St, Bldg F, Suite 1002, Palm Desert, CA 92211-6100 2008-12-18
1003091091 Hyun Myung Jim Cho Md Inc Internal Medicine 41990 Cook St, Suite F1001, Palm Desert, CA 92211-6100 2008-01-08
1316062128 Desert Heart Physicians Medical Group, Inc. Internal Medicine 41990 Cook St, Bldg. G, Suite 601, Palm Desert, CA 92211-6100 2007-03-20
1518983493 Jennifer I Hui Ophthalmology 41990 Cook St, Building F #1007, Palm Desert, CA 92211-6100 2006-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780293936 Childnet Youth and Family Services, Inc. Community/Behavioral Health 42-600 Cook Street, Suite 100, Palm Desert, CA 92211 2020-07-23
1003457607 Catherine Krumplitsch Technician 41430 Kansas Street, Palm Desert, CA 92211 2019-10-04
1942702055 Executive Recovery Group, Inc Clinic/Center 77725 Enfield Ln # 100-200, Palm Desert, CA 92211 2018-03-05
1992248918 West Coast Surgery Inc Orthopaedic Surgery 36915 Cook Street, Suite 103 B, Palm Desert, CA 92211 2016-11-22
1063963098 Therese Tudor Physical Therapist 77-682 Country Club Drive, Suite G, Palm Desert, CA 92211 2016-10-14
1609249663 John D Rasmussen Anesthesiology 160 Running Spring Drive, Palm Desert, CA 92211 2015-11-12
1033580113 Executive Recovery Group, Inc Substance Abuse Rehabilitation Facility 35450 Pegasus Ct, Palm Desert, CA 92211 2015-10-14
1861862146 Artur Sarkisyan Dentist 34-460 Monterey Ave Ste 100, Palm Desert, CA 92211 2015-09-30
1649686833 Annamaria Valenzuela Licensed Vocational Nurse 77-777 Country Club Drive, Apt 235, Palm Desert, CA 92211 2014-07-08
1265876759 Guardian Angel Home Care, Inc. Home Health 41865 Boardwalk, Suite 215, Palm Desert, CA 92211 2013-04-26
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497234413 Christopher Lopes Dentist 34460 Monterey Ave Ste 100, Palm Desert, CA 92211-6008 2018-08-09
1861862146 Artur Sarkisyan Dentist 34-460 Monterey Ave Ste 100, Palm Desert, CA 92211 2015-09-30
1952780025 David Richard Perrone Dentist 73091 Country Club Dr., Ste A3, Palm Desert, CA 92260 2015-05-22
1194164566 Oualid Tellissi Dentist 72695 Highway 111, Suite A-8, Palm Desert, CA 92260-3320 2013-06-19
1831440502 Aghaloo, Dds, Inc. Dentist 39620 Washington St. Suite C, Palm Desert, CA 92211 2012-09-21
1659637627 Victor Rider Cuccia Dentist 42215 Washington St, Suite E, Palm Desert, CA 92211-8032 2012-04-04
1588817795 Richard J. Gill, D.d.s., Inc. Dentist 73368 Bursera Way, Palm Desert, CA 92260-5729 2008-10-31
1306093562 Chris A Buscaglia Dentist 77530 Enfield Ln Ste 202, Palm Desert, CA 92211-7261 2008-08-19
1770743221 Duane T Nishikubo Dentist 44227 Monterey Ave Ste 1, Palm Desert, CA 92260-2710 2008-06-09
1366609034 Samir Rizvanbegovic Dentist 44421 Town Center Way Ste C, Palm Desert, CA 92260-2705 2008-05-20
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Competitor

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City PALM DESERT
Zip Code 92211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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