| Jack Theodore Ezzedine, | |
|
1000 S Fremont Ave, Alhambra, CA 91803-8800 | |
| (626) 457-4240 | |
| Not Available |
| Full Name | Jack Theodore Ezzedine |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1000 S Fremont Ave, Alhambra, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053137513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Theodore Ezzedine, 678 E Walnut St Unit 311, Pasadena, CA 91101-2283 Ph: (714) 713-7774 | Jack Theodore Ezzedine, 1000 S Fremont Ave, Alhambra, CA 91803-8800 Ph: (626) 457-4240 |
Jessica Lee Palmer, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 S Fremont Ave Ste N10100, Alhambra, CA 91803 Phone: 626-457-4240 | |
Krystal Espinoza, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 S Fremont Ave, Alhambra, CA 91803 Phone: 626-457-4240 | |
Sonya Tang, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1024 S Garfield Ave, Alhambra, CA 91801 Phone: 626-289-5181 | |
Jaspreet Kaur, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 South Fremont Avenue Unit 7, Bldg. A10, Ste.n10100, Alhambra, CA 91803 Phone: 626-457-4240 | |
Courtney Boucher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 503 N Story Pl, Alhambra, CA 91801 Phone: 626-484-6732 | |
Emily Bahareh Zaghi, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 S Fremont Ave Bldg A-11, Alhambra, CA 91803 Phone: 626-457-4240 |