Provider Demographics
NPI:1649707456
Name:TUKIAINEN, ERICA SIMONE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:SIMONE
Last Name:TUKIAINEN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:MISS
Other - First Name:ERICA
Other - Middle Name:SIMONE
Other - Last Name:GABRIEL TUKIAINEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:221 WESTWOOD PLZ FL 1
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-4103
Mailing Address - Country:US
Mailing Address - Phone:310-825-4073
Mailing Address - Fax:310-987-1172
Practice Address - Street 1:221 WESTWOOD PLZ FL 1
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-6021
Practice Address - Country:US
Practice Address - Phone:310-825-4073
Practice Address - Fax:310-987-1172
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA158514207Q00000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine