Provider Demographics
NPI:1083931349
Name:IBRAHIM HELMY MD INC
Entity Type:Organization
Organization Name:IBRAHIM HELMY MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:D
Authorized Official - Last Name:HELMY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-672-8209
Mailing Address - Street 1:575 E HARDY ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-4036
Mailing Address - Country:US
Mailing Address - Phone:310-672-8209
Mailing Address - Fax:310-672-0144
Practice Address - Street 1:575 E HARDY ST
Practice Address - Street 2:SUITE 305
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-4036
Practice Address - Country:US
Practice Address - Phone:310-672-8209
Practice Address - Fax:310-672-0144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG46891174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG46891Medicare PIN
CAA92683Medicare UPIN