Healthcare Provider Details

I. General information

NPI: 1972470730
Provider Name (Legal Business Name): DIGESTIVE HEALTH ASSOCIATES OF SOUTHERN CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
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: 310-829-6789
  • Fax: 310-935-3163
Mailing address:
  • Phone: 310-829-6789
  • Fax: 310-935-3163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: RAHUL DIXIT
Title or Position: PARTNER
Credential:
Phone: 727-410-1571