Healthcare Provider Details

I. General information

NPI: 1467375709
Provider Name (Legal Business Name): CENTER FOR DIGESTIVE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8631 W 3RD ST STE 1015E
LOS ANGELES CA
90048-5913
US

IV. Provider business mailing address

8631 W 3RD ST STE 1015E
LOS ANGELES CA
90048-5913
US

V. Phone/Fax

Practice location:
  • Phone: 310-933-3229
  • Fax: 310-706-4998
Mailing address:
  • Phone: 310-933-3229
  • Fax: 310-706-4998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JONATHAN S. POURMORADY
Title or Position: PRESIDENT
Credential: MD
Phone: 310-933-3229