JOANNA TUKAJ M.D. INC. NPI 1477545556

NPI Information

  • NPI: 1477545556
  • Provider Name: JOANNA TUKAJ, M.D., INC.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: DR JOANNA'S KIDS MEDICAL CLINIC
  • Address: 130 W ROUTE 66
    STE324
    GLENDORA, CA
    ZIP 91740
  • Phone: (626) 914-0017

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NPI Details

JOANNA TUKAJ, M.D., INC. is a pediatrics in Glendora, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. JOANNA TUKAJ, M.D., INC. NPI is 1477545556. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr Joanna's Kids Medical Clinic.

The provider's business location address is:

130 W ROUTE 66
STE324
GLENDORA, CA
ZIP 91740-252
Phone: (626) 914-0017
Fax: (626) 914-0288

The provider's authorized official is Krzysztof Tukaj .
The authorized official title is Secretary/bus.ofc.mgr and has the following contact phone number (909) 394-0828.

The enumeration date for this NPI number is 8/16/2005 and was last updated on 6/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsA051499CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A514990OTHERCALIFORNIAMEDI-CAL
21336407923OTHERCALIFORNIATYPE-1 NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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