Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tarek Ezzeddine MD Inc

Organization General Practice Physician · NPI 1548701287

Tarek Ezzeddine MD Inc is a General Practice Physician in Rancho Cucamonga, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10841 White Oak Ave Ste 103
Rancho Cucamonga, CA 91730-3817
Phone: (909) 360-4722
Fax: (909) 360-4721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence C133690 (CA)

Record details

NPI number1548701287
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tarek Ezzeddine — President · (810) 814-5600
NPI enumeratedMarch 14, 2017
Last updated in NPPESJanuary 6, 2020
Certification dateJanuary 6, 2020
Mailing address10841 White Oak Ave Ste 103, Rancho Cucamonga, CA 91730-3817

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