# TANJA L. KUJAC, MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477832277
- **Authorized official:** DR. TANYA LYNNE KUJAC MD (CEO/MEDICAL DIRECTOR)
- **Authorized official phone:** (925) 256-6583

## Contact information

- **Practice address:** 710 SOUTH BROADWAY, STE 110, WALNUT CREEK, CA 94596
- **Practice address phone:** (925) 256-6583
- **Practice address fax:** (925) 256-6583
- **Mailing address:** PO BOX \#183, 3000 F DANVILLE BLVD, ALAMO, CA 94507
- **Mailing address phone:** (925) 256-6583
- **Mailing address fax:** (925) 256-6583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081H0002X | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | A063451 | CA | Yes |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | A063451 | CA | — |

## Other

- **Enumeration date:** 08/10/2011
- **Last updated:** 08/10/2011