Healthcare Provider Details

I. General information

NPI: 1649707456
Provider Name (Legal Business Name): ERICA SIMONE TUKIAINEN M.D., M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS ERICA SIMONE GABRIEL TUKIAINEN

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 WESTWOOD PLZ FL 1
LOS ANGELES CA
90095-6021
US

IV. Provider business mailing address

221 WESTWOOD PLZ FL 1
LOS ANGELES CA
90095-4103
US

V. Phone/Fax

Practice location:
  • Phone: 310-825-4073
  • Fax: 310-983-1172
Mailing address:
  • Phone: 310-825-4073
  • Fax: 310-987-1172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberA158514
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA158514
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: