Ibrahim Mustafa | El Cajon, CA • PECOS Search

Ibrahim Mustafa

Dentist

Dental Providers

2450 Sawgrass St, El Cajon, CA 92019-4552

PECOS Enrollment

Based on the most recent information from CMS, provider Ibrahim Mustafa does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1134058993
Provider Type
Individual
Full Name
Mustafa, Ibrahim
Gender
Male

Sole Proprietor
No
Enumeration Date
5/18/2026
Last Updated
5/18/2026

Contact Information

Practice Location

2450 Sawgrass St, El Cajon, CA 92019-4552

Unlisted Fax

Mailing Location

2450 Sawgrass St, El Cajon, CA 92019-4552

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 112921 California