Provider Demographics
NPI:1043098619
Name:DIGESTIVE HEALTH ASSOCIATES OF SOUTHERN CALIFORNIA
Entity Type:Organization
Organization Name:DIGESTIVE HEALTH ASSOCIATES OF SOUTHERN CALIFORNIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RAHUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-410-1571
Mailing Address - Street 1:1301 20TH ST STE 280
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2053
Mailing Address - Country:US
Mailing Address - Phone:661-425-7245
Mailing Address - Fax:310-935-3163
Practice Address - Street 1:1301 20TH ST STE 280
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2053
Practice Address - Country:US
Practice Address - Phone:310-829-6789
Practice Address - Fax:310-935-3163
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIGESTIVE HEALTH ASSOCIATES OF SOUTHERN CALIFORNIA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty