TAREK EZZEDDINE MD INC is a general practice in Rancho Cucamonga, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee TAREK EZZEDDINE MD INC NPI is 1548701287. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
10841 WHITE OAK AVE STE 103
RANCHO CUCAMONGA, CA
ZIP 91730-817
Phone: (909) 360-4722
Fax: (909) 360-4721
The provider's authorized official is Tarek Ezzeddine .
The authorized official title is President and has the following contact phone number (810) 814-5600.
The CLIA number assigned to this NPI record is 05D2160329 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/14/2017 and was last updated on 1/6/2020.