Jack Theodore Ezzedine
Jack Theodore Ezzedine is a Medical Physician Assistant in Alhambra, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1000 S Fremont AveAlhambra, CA 91803-8800
Phone: (626) 457-4240
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Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|
Record details
| NPI number | 1053137513 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 2, 2024 |
| Last updated in NPPES | December 2, 2024 |
| Certification date | December 1, 2024 |
| Mailing address | 678 E Walnut St Unit 311, Pasadena, CA 91101-2283 |
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Florencia Bondi
1000 S Fremont Ave, Alhambra, CA 91803-8800 · (626) 457-4240
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Krystal Espinoza
1000 S Fremont Ave, Alhambra, CA 91803-8800 · (626) 457-4240
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MS. Robbi Ann Robinson, PA-C
1000 S Fremont Ave Bldg A-11, Alhambra, CA 91803-8800 · (626) 457-4240
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Mrs. Ann Louise Schultz, PA-C
1000 S Fremont Ave Bldg 7 4TH Fl Unit A6, Alhambra, CA 91803-8800 · (626) 457-4271
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Sonya Tang, PA
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