Healthcare Provider Details

I. General information

NPI: 1609664119
Provider Name (Legal Business Name): ABRAHAMIC SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2025
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12584 ATWOOD CT APT 1124
RANCHO CUCAMONGA CA
91739-1853
US

IV. Provider business mailing address

7252 ARCHIBALD AVE
RANCHO CUCAMONGA CA
91701-5017
US

V. Phone/Fax

Practice location:
  • Phone: 909-353-2064
  • Fax:
Mailing address:
  • Phone: 909-257-1628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. IBRAHEEM JABBAR
Title or Position: CEO
Credential:
Phone: 909-684-5817