Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacklyn Ibrahim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699277293

Dr. Jacklyn Ibrahim is a Student in an Organized Health Care Education/Training Program in Los Angeles, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Los Angeles, CA

Additional practice locations (1)

  • 55 E Julian St, San Jose, CA 95112-4007 — (408) 280-0672

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 104338 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699277293
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 28, 2018
Last updated in NPPESAugust 29, 2019

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