MEDICARE: MIAD JIBRO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1710580675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIAD JIBRO

Provider Business Mailing Address
First Line	:	343 E MAIN ST STE 102
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92020-3942
Country	:	US
Telephone Number	:	619-756-3651
Fax Number	:

Provider Business Practice Location Address
First Line	:	343 E MAIN ST STE 102
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92020-3942
Country	:	US
Telephone Number	:	619-938-3239
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2020
Last Update Date	:	12/07/2020

Similar Medicare Providers

1518034115 — FERESHTEH JAHANPANAH MD
Practice Location Address:

343 E MAIN ST STE 101
EL CAJON, CA
92020-3942

Practice Phone: 619-447-6001
Practice Fax: 619-447-6096

1396082517 — FERESHTEH JAHANPANAH M.D., A PROFESSIONAL MEDICAL CORPORATION
Practice Location Address:

343 E MAIN ST STE 101
EL CAJON, CA
92020-3942

Practice Phone: 619-447-6001
Practice Fax: 619-447-6096

1215552369 — MISS LEZA KHOSHNAW II SOCIAL WORKER
Practice Location Address:

343 E MAIN ST STE 102
EL CAJON, CA
92020-3942

Practice Phone: 619-938-3239
Practice Fax:

1881260321 — SAMA NABBOUD
Practice Location Address:

343 E MAIN ST STE 102
EL CAJON, CA
92020-3942

Practice Phone: 619-756-5267
Practice Fax:

1619031929 — MS. SHU YI CHEN OTRIL
Practice Location Address:

3942 MAXSON RD
EL MONTE, CA
97132

Practice Phone: 626-374-2233
Practice Fax:

1760728026 — MS. JANE M LEE B.S. OTR/L
Practice Location Address:

217 SHELDON ST APT C
EL SEGUNDO, CA
90245-3942

Practice Phone: 310-403-7268
Practice Fax:

Directions to “ MIAD JIBRO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.