NPI 1548701287

Tarek Ezzeddine MD INC

Organisation General Practice Physician Rancho Cucamonga, CA

Practice location

Address: 10841 White Oak Ave STE 103, Rancho Cucamonga, CA 91730-3817
Phone: (909) 360-4722
Fax: (909) 360-4721

Authorised official

Name: Tarek Ezzeddine
Title: President
Phone: (810) 814-5600

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence C133690 (CA)

Other General Practice providers in California →

Registry record

NPI: 1548701287
Entity type: Organization
NPI issued: 14 Mar 2017
Record last updated: 6 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.