Provider Demographics
NPI:1265887145
Name:MUHAMMAD, ISAAC
Entity type:Individual
Prefix:
First Name:ISAAC
Middle Name:
Last Name:MUHAMMAD
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 1:3183 WILSHIRE BLVD
Mailing Address - Street 2:196-E8
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-1211
Mailing Address - Country:US
Mailing Address - Phone:213-884-9735
Mailing Address - Fax:213-386-3566
Practice Address - Street 1:3183 WILSHIRE BLVD
Practice Address - Street 2:196-E8
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-1211
Practice Address - Country:US
Practice Address - Phone:213-884-9735
Practice Address - Fax:213-386-3566
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies