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

Tarek Ezzeddine, MD

Individual provider Pediatrics Physician · NPI 1740471879

Tarek Ezzeddine, MD is an Internal Medicine in Rancho Cucamonga, California. Qualified in 1999, 27 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
27
Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8250 White Oak Ave Ste 106
Rancho Cucamonga, CA 91730-7679
Phone: (909) 360-4722
Fax: (909) 360-4721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence C133690 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence C133690 (CA)

Record details

NPI number1740471879
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 5, 2007
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing address6131 Softwind Pl, Rancho Cucamonga, CA 91737-7701

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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