Stevanus Ibrahim (NPI# 1285865832, PAC ID# 3678854684) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1285865832 |
| PAC ID by PECOS | 3678854684 |
| Professional Enrollment ID | I20170106000442 |
| Full Name | Stevanus Ibrahim |
| Organization Legal Name | ORTHOPAEDIC MEDICAL GROUP AND ATHLETIC REHABILITATION CENTER, INC |
| Address |
1050 Lakes Dr West Covina CA 91790-2929 |
| Phone Number | 6269186655 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9830091172 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 440 W Foothill Blvd, Glendora, CA 91741-3361 | 6269639402 | CITRUS VALLEY PHYSICIAN PARTNERS |
| 1050 Lakes Dr, West Covina, CA 91790-2929 | 6269186655 | ORTHOPAEDIC MEDICAL GROUP AND ATHLETIC REHABILITATION CENTER, INC |
| 1050 Lakes Dr, Suite 100, West Covina, CA 91790-2929 | 6269186655 | ORTHOPAEDIC MEDICAL GROUP AND ATHLETIC REHABILITATION CENTER, INC |
| Organization Legal Name | ORTHOPAEDIC MEDICAL GROUP AND ATHLETIC REHABILITATION CENTER, INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry Moussa | Physical Therapy | Orthopaedic Medical Group and Athletic Rehabilitation Center, Inc | 412 W Carroll Ave, Glendora, CA 91741-4700 |
| Street Address |
1050 LAKES DR |
| City | WEST COVINA |
| State | CA |
| Zip | 91790-2929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Lindberg | Physical Medicine and Rehabilitation | 1050 Lakes Dr, Suite 100, West Covina, CA 91790-2929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Federico Hinojosa | Physician Assistant | 1901 W Badillo St, West Covina, CA 91790-1133 | |
| Hemalatha Parekh | General Practice | Indus Healthcare, Inc. | 333 N Sunset Ave, West Covina, CA 91790-1651 |
| Susan Lissette Vasquez | Physician Assistant | Indus Healthcare, Inc. | 333 N Sunset Ave, West Covina, CA 91790-1651 |
| Cesar A Jimenez | Internal Medicine | Mayflower Medical Group Inc | 140 N Orange Ave, Suite 100, West Covina, CA 91790-2016 |
| Suneetha S. Ali | Obstetrics/gynecology | Mayflower Medical Group Inc | 140 N Orange Ave, Suite 100, West Covina, CA 91790-2016 |
| Lina C. Dela Cruz | Internal Medicine | Mayflower Medical Group Inc | 140 N Orange Ave, Suite 100, West Covina, CA 91790-2016 |
| Zinovi Rozenblat | Psychiatry | Pacific Clinics | 1517 W Garvey Ave N, West Covina, CA 91790-2138 |
| Leila E Jimenez | Nurse Practitioner | Pacific Clinics | 1517 W Garvey Ave N, West Covina, CA 91790-2138 |
| Anjana Wilkerson | Physical Therapy | Southern California Sports Rehabilitation Inc. | 1321 W Garvey N Ave, West Covina, CA 91790-2242 |
| Akbar Omar | General Practice | 222 N Sunset Ave, Suite C, West Covina, CA 91790-2278 | |
| Find all physicians in zip 91790 | |||
| City | WEST COVINA |
| Zip Code | 91790 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | WEST COVINA + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.