Healthcare Provider Details

I. General information

NPI: 1003310251
Provider Name (Legal Business Name): AVA ARSHADI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2018
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

678 3RD AVE
CHULA VISTA CA
91910-5736
US

IV. Provider business mailing address

678 3RD AVE
CHULA VISTA CA
91910-5736
US

V. Phone/Fax

Practice location:
  • Phone: 619-662-4100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number104111
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: