Organization
SPECIALIZED URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAREK EZZEDDINE MD (PRESIDENT)
(951) 380-8203
Entity
Organization
Contact information
Practice address
7710 LIMONITE AVE STE 101, JURUPA VALLEY, CA 92509-5342
(714) 768-0090
Mailing address
7710 LIMONITE AVE STE 101, JURUPA VALLEY, CA 92509-5342
(951) 380-8202
(951) 498-4114
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740471879
—
CA
Enumeration date
01/31/2025
Last updated
10/01/2025
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