Provider Demographics
NPI:1750918983
Name:IBRAHIM SOUS, CATRINE (MD)
Entity type:Individual
Prefix:
First Name:CATRINE
Middle Name:
Last Name:IBRAHIM SOUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2995 RED HILL AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-5984
Mailing Address - Country:US
Mailing Address - Phone:949-829-5533
Mailing Address - Fax:949-581-9158
Practice Address - Street 1:2995 RED HILL AVE STE 200
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-5984
Practice Address - Country:US
Practice Address - Phone:949-581-9158
Practice Address - Fax:949-581-9158
Is Sole Proprietor?:No
Enumeration Date:2020-03-26
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.151688207V00000X
CA202428207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology