Tarek Ezzeddine Md Inc

LBN: Tarek Ezzeddine Md Inc
Tarek Ezzeddine Md Inc is an health care organization with primary practice located at 10841 White Oak Ave Ste 103 , Rancho Cucamonga CA 91730-3817. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Tarek Ezzeddine Md Inc can be contacted via phone (909) 360-4722, or through Ezzeddine, Tarek via phone (810) 814-5600.

Contact Information

Primary practice address
10841 White Oak Ave Ste 103 Rancho Cucamonga CA 91730-3817
Phone: (909) 360-4722
Fax: (909) 360-4721
Website:
Map and Directions
Authorized official contact:
Name: Ezzeddine, Tarek Doctor of Medicine (MD)
Phone: (810) 814-5600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X C133690 California

Profile Details

NPI number 1548701287
LBN Legal business name Tarek Ezzeddine Md Inc
DBA Doing business as
Authorized official Ezzeddine, Tarek Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2017
Last updated Jan 6th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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