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General NPI Number Information
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NPI Number | 1013823129
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Entity Type | Organization
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Legal Business Name | DIGESTIVE HEALTH ASSOCIATES
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 1301 20TH ST STE 280
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City | SANTA MONICA
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State | CA
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Zip | 90404-2053
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Country | US
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Telephone | 310-829-0045
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Fax | 310-935-3163
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Provider Business Mailing Address
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Address Line | 1301 20TH ST STE 280
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City | SANTA MONICA
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State | CA
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Zip | 90404-2053
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Country | US
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Telephone | 310-829-0045
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Fax | 310-935-3163
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | LENNA MARTYAK
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Credential | MD
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Telephone | 310-829-6789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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