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

Mina Boshra Ghattas Ibrahim

Individual provider Pharmacist · NPI 1104205244

Mina Boshra Ghattas Ibrahim is a Pharmacist in Los Angeles, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

4633 Santa Monica Blvd
Los Angeles, CA 90029-1803
Phone: (323) 666-6125
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 72485 (CA)

Record details

NPI number1104205244
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 21, 2015
Last updated in NPPESMay 21, 2015

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