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Organization

DIGESTIVE DISEASE ASSOCIATES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TADDESEE TEFERI DESTA MD (OWNER)
(619) 266-3332
Entity
Organization

Contact information

Practice address
292 EUCLID AVE, STE 115, SAN DIEGO, CA 92114
(619) 266-3332
(619) 266-6000
Mailing address
292 EUCLID AVE, STE 115, SAN DIEGO, CA 92114
(619) 266-3332
(619) 266-6000

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A49164
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A491640
CA
Enumeration date
10/31/2006
Last updated
05/05/2011
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