DIGESTIVE DISEASE ASSOCIATES, INC; NPI #1073699971

Contact Information

DIGESTIVE DISEASE ASSOCIATES, INC

292 EUCLID AVE
STE 115
SAN DIEGO, CA 92114

Phone: 619-266-3332
Fax: 619-266-6000
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Specialist	174400000X

Indicates primary specialty

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NPI Profile & details for DIGESTIVE DISEASE ASSOCIATES, INC

NPI Number 1073699971

LBN Legal business name DIGESTIVE DISEASE ASSOCIATES, INC

Authorized official TADDESEE DESTA - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/31/2006

Last updated 05/05/2011 - About 15 years ago

Identifiers

CA	License #	A49164
CA	Medicaid	00A491640

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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