Healthcare Provider Details

I. General information

NPI: 1104758614
Provider Name (Legal Business Name): RIPA DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 RIDGEBACK RD STE 23
CHULA VISTA CA
91910-6990
US

IV. Provider business mailing address

1415 RIDGEBACK RD STE 23
CHULA VISTA CA
91910-6990
US

V. Phone/Fax

Practice location:
  • Phone: 619-421-2155
  • Fax:
Mailing address:
  • Phone: 619-421-2155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: RUTH RIPA
Title or Position: PRESIDENT
Credential: DDS
Phone: 619-860-0408