Healthcare Provider Details

I. General information

NPI: 1992309033
Provider Name (Legal Business Name): ZINA ARABO DMD,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2020
Last Update Date: 11/30/2020
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8875 LA MESA BLVD STE F
LA MESA CA
91942-5471
US

IV. Provider business mailing address

8875 LA MESA BLVD STE F
LA MESA CA
91942-5471
US

V. Phone/Fax

Practice location:
  • Phone: 619-729-0522
  • Fax:
Mailing address:
  • Phone: 619-729-0522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ZINA ARABO
Title or Position: CEO
Credential: DMD
Phone: 619-729-0522