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

Dr. Mena Ibrahim, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1124716907

Dr. Mena Ibrahim, DPM is a Podiatry in Laguna Hills, California. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in California and New Jersey.

Years since qualifying
3
Licensed in
CA, NJ
In the registry since
2023
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

23141 Moulton Pkwy Ste 109
Laguna Hills, CA 92653-1241
Phone: (949) 272-0007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 350 Engle St, Englewood, NJ 07631-1898 — (201) 894-3000

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E6243 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NJ)

Record details

NPI number1124716907
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 28, 2023
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address350 Engle St, Englewood, NJ 07631-1898

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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