| Tarek Ezzeddine, MD | |
|
8250 White Oak Ave Ste 106, Rancho Cucamonga, CA 91730-7679 | |
| (909) 360-4722 | |
| (909) 360-4721 |
| Full Name | Tarek Ezzeddine |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 8250 White Oak Ave Ste 106, Rancho Cucamonga, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740471879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | C133690 (California) | Secondary |
| 207R00000X | Internal Medicine | C133690 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| San Antonio Regional Hospital | Upland, CA | Hospital |
| Entity Name | Mission City Community Network, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710102009 PECOS PAC ID: 1658264684 Enrollment ID: O20040204000544 |
| Entity Name | Chino Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790730786 PECOS PAC ID: 8325086184 Enrollment ID: O20050421000800 |
| Entity Name | Knd Development 59 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740519081 PECOS PAC ID: 3678602802 Enrollment ID: O20100724000249 |
| Entity Name | Mountain View Urgent Care Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023306784 PECOS PAC ID: 7214107861 Enrollment ID: O20110908002279 |
| Entity Name | Tarek Ezzeddine Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548701287 PECOS PAC ID: 8729364658 Enrollment ID: O20180607001706 |
| Mailing Address | Practice Location Address |
|---|---|
| Tarek Ezzeddine, MD 6131 Softwind Pl, Rancho Cucamonga, CA 91737-7701 Ph: (909) 360-3124 | Tarek Ezzeddine, MD 8250 White Oak Ave Ste 106, Rancho Cucamonga, CA 91730-7679 Ph: (909) 360-4722 |
Behnam Ebrahimi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12577 Naples Way, Rancho Cucamonga, CA 91739 Phone: 714-281-2993 | |
Catherine Joy Cabugao, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10841 White Oak Ave Ste 107, Rancho Cucamonga, CA 91730 Phone: 909-466-8888 | |
Muhammad Bader Hammami, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9140 Haven Ave Ste 115, Rancho Cucamonga, CA 91730 Phone: 909-606-4860 | |
Dr. Vatsal Haren Mody, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10832 Laurel St Ste 101, Rancho Cucamonga, CA 91730 Phone: 909-477-3015 | |
Hetalben Makwana, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9190 Haven Ave Ste 102, Rancho Cucamonga, CA 91730 Phone: 909-981-0989 Fax: 909-949-6214 | |
Tuan A Pham, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9333 Baseline Rd, Ste. 160, Rancho Cucamonga, CA 91730 Phone: 909-941-4777 Fax: 909-941-4599 | |
Dr. Wollelaw W Agmas, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8263 Grove Ave Ste 201, Rancho Cucamonga, CA 91730 Phone: 909-579-0708 Fax: 909-579-0778 |