Healthcare Provider Details
I. General information
NPI: 1225951841
Provider Name (Legal Business Name): HEALORA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
320 N EUCLID AVE UNIT 219
ONTARIO CA
91762-3474
US
IV. Provider business mailing address
320 N EUCLID AVE UNIT 219
ONTARIO CA
91762-3474
US
V. Phone/Fax
- Phone: 909-257-1628
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
IBRAHEEM
JABBAR
Title or Position: CEO
Credential:
Phone: 909-257-1628