Organization · Type 2 NPI
Tarek Ezzeddine MD Inc
General Practice Physician · Rancho Cucamonga, CA
NPI number
1548701287
Active
Practice location
10841 White Oak Ave Ste 103
Rancho Cucamonga, CA 91730-3817
Fax (909) 360-4721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | C133690 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1548701287
Tarek Ezzeddine MD Inc's National Provider Identifier is 1548701287, issued on Mar 14, 2017. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Jan 6, 2020.