Provider Demographics
NPI:1225602063
Name:JABER, MOHAMMAD IBRAHIM M (MD)
Entity type:Individual
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First Name:MOHAMMAD
Middle Name:IBRAHIM M
Last Name:JABER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:INTERNAL MEDICINE RESIDENCY PROGRAM RUHS-MC
Mailing Address - Street 2:26520 CACTUS AVENUE CPC SUITE 201
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555
Mailing Address - Country:US
Mailing Address - Phone:951-486-5908
Mailing Address - Fax:951-486-5910
Practice Address - Street 1:LOMA LINDA UNIVERSITY MEDICAL CENTER
Practice Address - Street 2:11234 ANDERSON STREET, WESTERLY #C
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354
Practice Address - Country:US
Practice Address - Phone:909-558-6131
Practice Address - Fax:951-486-5910
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-17
Last Update Date:2024-06-21
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Provider Licenses
StateLicense IDTaxonomies
CAA190045207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine