Healthcare Provider Details

I. General information

NPI: 1407784838
Provider Name (Legal Business Name): SD HEALTH AND BEAUTY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 EASTLAKE PKWY STE 202
CHULA VISTA CA
91914-4521
US

IV. Provider business mailing address

1440 HEATHERWOOD AVE
CHULA VISTA CA
91913-2972
US

V. Phone/Fax

Practice location:
  • Phone: 619-261-4242
  • Fax:
Mailing address:
  • Phone: 925-639-1956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ARZOO SADIQI
Title or Position: PHYSICIAN
Credential: DO
Phone: 925-639-6252