Healthcare Provider Details

I. General information

NPI: 1699816421
Provider Name (Legal Business Name): TUJUNGA MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6673 FOOTHILL BLVD
TUJUNGA CA
91042-2706
US

IV. Provider business mailing address

6673 FOOTHILL BLVD
TUJUNGA CA
91042-2706
US

V. Phone/Fax

Practice location:
  • Phone: 818-353-8581
  • Fax: 818-353-0434
Mailing address:
  • Phone: 818-353-8581
  • Fax: 818-353-0434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA48707
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA48707
License Number StateCA

VIII. Authorized Official

Name: DR. MAREK K ZDARZYL
Title or Position: CO-OWNER
Credential: M.D.
Phone: 818-353-8581