Individual provider · Type 1 NPI

Loujyn Ezzedin, MD

Student in an Organized Health Care Education/Training Program · San Dimas, CA

NPI number 1043136708 Active

Practice location

1350 W Covina Blvd
San Dimas, CA 91773-3245

Call (909) 599-6811 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043136708

Loujyn Ezzedin, MD's National Provider Identifier is 1043136708, issued on Jun 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Dimas, CA. The record was last updated on Jun 26, 2026.