Ezzeddine, Tarek
Ezzeddine, Tarek is an individual health care provider with primary practice located at 10841 White Oak Ave Ste 103 , Rancho Cucamonga CA 91730. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ezzeddine, Tarek can be contacted via phone (810) 814-5600.Contact Information
Primary practice address
10841 White Oak Ave Ste 103
Rancho Cucamonga CA 91730
Phone: (810) 814-5600
Fax: (909) 360-4721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C133690 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C133690 | California |
Profile Details
| NPI number | 1740471879 |
|---|---|
| LBN Legal business name | Ezzeddine, Tarek |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Jan 6th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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