Individual
DR. JOANNA TUKAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1433 N HOLLENBECK AVE STE 104, COVINA, CA 91722-1558
(626) 914-0017
(606) 914-0288
Mailing address
1433 N HOLLENBECK AVE STE 104, COVINA, CA 91722-1558
(626) 914-0017
(626) 914-0288
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A51499
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A051499
—
CA
01
—
1336407923
NPPES, TYPE-1 NPI
CA
01
—
1477545556
NPPES, TYPE-2 NPI
CA
01
—
1932146370
MAYFLOWER MG NPPES, TYPE-2 NPI
CA
05
—
22-3922241
—
CA
05
—
95-4831794
—
CA
Enumeration date
05/02/2012
Last updated
03/26/2019
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