Provider Demographics
NPI:1992401566
Name:ZIBLIM, MUHAMMED
Entity type:Individual
Prefix:
First Name:MUHAMMED
Middle Name:
Last Name:ZIBLIM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29760 COTTONWOOD COVE DR
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-7970
Mailing Address - Country:US
Mailing Address - Phone:858-752-7809
Mailing Address - Fax:
Practice Address - Street 1:29760 COTTONWOOD COVE DR
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-7970
Practice Address - Country:US
Practice Address - Phone:185-875-2780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA632938163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical