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

Jacklynn Ibrahim

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1063032662

Jacklynn Ibrahim is a Pulmonary Disease in Sherman Oaks, California. Qualified in 2020, 6 years ago. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

4955 Van Nuys Blvd Ste 502
Sherman Oaks, CA 91403-1817
Phone: (818) 325-0200
Show map & directions

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

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence A207203 (CA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence A207203 (CA)

Record details

NPI number1063032662
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2020
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Sherman Oaks