Provider Demographics
NPI:1518998285
Name:ALAMEDDINE, TAREK (DC)
Entity Type:Individual
Prefix:DR
First Name:TAREK
Middle Name:
Last Name:ALAMEDDINE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 S HEATHDALE AVE
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-3321
Mailing Address - Country:US
Mailing Address - Phone:626-329-3755
Mailing Address - Fax:
Practice Address - Street 1:750 W ROUTE 66
Practice Address - Street 2:SUITE P
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-4162
Practice Address - Country:US
Practice Address - Phone:626-329-3755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29030111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor