Individual ProviderAsmahan Ibraheem MikhaDentistDental ProvidersPractice Address2654 Jamacha Rd Ste 113, El Cajon, CA 92019-4327(619) 303-0930(480) 658-8222PECOS EnrollmentBased on the most recent information from CMS, provider Asmahan Ibraheem Mikha does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1992464655Provider TypeIndividualFull NameMikha, Asmahan IbraheemGenderFemaleSole ProprietorNoEnumeration Date12/9/2021Last Updated12/9/2021Contact InformationPractice LocationPractice Address2654 Jamacha Rd Ste 113, El Cajon, CA 92019-4327Phone(619) 303-0930FaxUnlisted FaxMailing LocationMailing Address1155 Tucson Ct, El Cajon, CA 92021-5123Phone(480) 658-8222FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense107175California