Healthcare Provider Details

I. General information

NPI: 1740907476
Provider Name (Legal Business Name): IBRAHIM AKKARI DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2022
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S FAIR OAKS AVE STE 207
PASADENA CA
91105-2562
US

IV. Provider business mailing address

301 S FAIR OAKS AVE STE 207
PASADENA CA
91105-2562
US

V. Phone/Fax

Practice location:
  • Phone: 337-315-7927
  • Fax: 626-405-1037
Mailing address:
  • Phone: 337-315-7927
  • Fax: 626-405-1037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. IBRAHIM AKKARI
Title or Position: CEO
Credential: DPM
Phone: 337-315-7927