Individual
DR. JESSE TIPASA TUKUAFU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2051 CUSHING RD, SAN DIEGO, CA 92106-6173
(619) 524-0146
Mailing address
3989 32ND ST, SAN DIEGO, CA 92104-2001
(619) 283-2097
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
10383567-0501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
10383567-0501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E6091
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2016
Last updated
04/21/2025
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