Mudjianto Chandra, M.d., Inc.
NPI #1083658827 in Tarzana, California
Provider Information
- NPI Number
- 1083658827
- Entity Type
- Organization
- Organization Name
- Mudjianto Chandra, M.d., Inc.
- Primary Specialty
- Colon & Rectal Surgery
- Enumeration Date
- Jun 15, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 18370 BURBANK BLVD
- Address 2
- SUITE 607
- City
- Tarzana
- State
- California
- ZIP Code
- 91356-2804
- Phone
- (818) 708-1004
Authorized Official
- Name
- DR. MUDJIANTO CHANDRA, M.D.
- Title
- PRESIDENT
- Phone
- (818) 708-1004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
| Colon & Rectal Surgery |
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