Mudjianto Chandra, M.d., Inc.

  • 1083658827 NPI Number
  • |
  • Actived: 17 years ago
  • |
Mudjianto Chandra, M.d., Inc. is a health care provider based in Tarzana, CA. The NPI Number is 1083658827 and it has been active since 17 years ago. The specialty is Surgery, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Surgery services, Mudjianto Chandra, M.d., Inc. is an excellent option. We are here to help you get the care you need.

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Overview of Mudjianto Chandra, M.d., Inc.

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 06/15/2006
  • Last updated: 08/22/2020

Primary Scrop of Practice

  • Taxonomy Code: 208600000X
  • Specialty: Surgery
  • License Number: A52198
  • License State: CA

Provider Mailing Address

  • Address: 18370 Burbank Blvd
    Suite 607
    Tarzana, CA 91356
  • Phone: 818-708-1004
  • Fax: 818-342-2141

Provider Practice Location

  • Address: 18370 Burbank Blvd
    Suite 607
    Tarzana, CA 91356
  • Phone: 818-708-1004
  • Fax: 818-342-2141

Authorized Official

  • Name: DR. Mudjianto Chandra M.D.
  • Position/Title: President
  • Telephone Number: 818-708-1004

Scope of Practice

  • Taxonomy Code: 208600000X
  • Specialty: Surgery
  • License Number: A52198
  • License State: CA
  • Switch: Not Answered

Legacy Identifiers

  • Provider Identifier: 00A521980
  • Identifier Type: Other
  • Identifier State:
  • Issuer: BLUE SHIELD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Mudjianto Chandra, M.d., Inc.?
  • A: The npi number for Mudjianto Chandra, M.d., Inc. is 1083658827.
  • Q: What are Mudjianto Chandra, M.d., Inc.'s specialties?
  • A: Mudjianto Chandra, M.d., Inc.'s specialties are Surgery and different specialities.
  • Q: Where is Mudjianto Chandra, M.d., Inc. business practice location?
  • A: Mudjianto Chandra, M.d., Inc. business practice location is 18370 Burbank Blvd, Tarzana, CA 91356.
  • Q: How to contact Mudjianto Chandra, M.d., Inc.?
  • A: You can contact Mudjianto Chandra, M.d., Inc. via 818-708-1004.
  • Q: What is the authorized official for Mudjianto Chandra, M.d., Inc.?
  • A: The authorized office name is DR. Mudjianto Chandra M.D. with position/title is President and you can reach the authorized official via phone number 8187081004.
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