National Provider Identifier Database

DIGESTIVE DISEASE ASSOCIATES INC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

DIGESTIVE DISEASE ASSOCIATES, INC
292 EUCLID AVE
STE 115
SAN DIEGO, CA92114
Phone: 619-266-3332
Fax: 619-266-6000
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for DIGESTIVE DISEASE ASSOCIATES, INC

NPI Number 1073699971
Legal business name
LBN
DIGESTIVE DISEASE ASSOCIATES, INC
Authorized official TADDESEE DESTA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/31/2006
Last updated 05/05/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: A49164
  • CA Medicaid: 00A491640

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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