Healthcare Provider Details

I. General information

NPI: 1013823129
Provider Name (Legal Business Name): DIGESTIVE HEALTH ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 20TH ST STE 280
SANTA MONICA CA
90404-2053
US

IV. Provider business mailing address

1301 20TH ST STE 280
SANTA MONICA CA
90404-2053
US

V. Phone/Fax

Practice location:
  • Phone: 310-829-0045
  • Fax: 310-935-3163
Mailing address:
  • Phone: 310-829-0045
  • Fax: 310-935-3163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: LENNA MARTYAK
Title or Position: GENERAL PARTNER
Credential: MD
Phone: 310-829-6789