MEDICARE: DR. ARASH EBRAHIM DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DDS103793	CA

General Provider Information

NPI Number	:	1548813116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARASH EBRAHIM DMD

Provider Business Mailing Address
First Line	:	9370 GALVIN AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92126-4890
Country	:	US
Telephone Number	:	858-342-1194
Fax Number	:

Provider Business Practice Location Address
First Line	:	4110 W POINT LOMA BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-5603
Country	:	US
Telephone Number	:	619-701-6629
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2019
Last Update Date	:	11/20/2020

Similar Medicare Providers

1922097898 — GLENN CASEY ASHMORE DDS
Practice Location Address:

4110 W POINT LOMA BLVD
SAN DIEGO, CA
92110-5603

Practice Phone: 619-701-6622
Practice Fax: 619-701-6656

1356639876 — DR. DAVIS DO DDS
Practice Location Address:

4110 W POINT LOMA BLVD
SAN DIEGO, CA
92110-5603

Practice Phone: 619-701-6622
Practice Fax:

1083002463 — ASHMORE DENTAL CORPORATION
Practice Location Address:

4110 W POINT LOMA BLVD
SAN DIEGO, CA
92110-5603

Practice Phone: 619-701-6622
Practice Fax:

1437541737 — GLENN CASEY ASHMORE DENTAL CORP.
Practice Location Address:

4110 W POINT LOMA BLVD
SAN DIEGO, CA
92110-5603

Practice Phone: 619-701-6622
Practice Fax: 619-701-6656

1730273582 — REGENTS OF THE UNIVERSITY OF CALIFORNIA
Practice Location Address:

9610 RIDGEHAVEN CT STE A
SAN DIEGO, CA
92123-5603

Practice Phone: 619-543-5231
Practice Fax: 619-543-8220

1255871638 — DR. JAIRUS K MAHOE PHARMD
Practice Location Address:

9610 RIDGEHAVEN CT STE C
SAN DIEGO, CA
92123-5603

Practice Phone: 619-543-7453
Practice Fax: 858-268-5019

Directions to “ DR. ARASH EBRAHIM DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.