Individual provider · Type 1 NPI

Mena Ibrahim, DPM

Foot & Ankle Surgery Podiatrist · Laguna Hills, CA

NPI number 1124716907 Active

Practice location

23141 Moulton Pkwy Ste 109
Laguna Hills, CA 92653-1241

Mailing address

350 Engle St
Englewood, NJ 07631-1898

Other practice locations

  • 350 Engle St, Englewood, NJ 07631-1898 · (201) 894-3000

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XE6243 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1124716907

Mena Ibrahim, DPM's National Provider Identifier is 1124716907, issued on Apr 28, 2023. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Laguna Hills, CA. The record was last updated on Jun 22, 2026.