Dr MUDJIANTO CHANDRA MD is a male medical professional, specializing in General Surgery. He graduated in 1983.
18370 BURBANK BLVD
SUITE 607
TARZANA
CA
913562833
Tel:
Npi | 1225152515 |
Pac Id | 6305826876 |
Professional Enrollment Id | I20040723001029 |
Last Name | CHANDRA |
First Name | MUDJIANTO |
Middle Name | |
Suffix | |
Gender | M |
Credential | MD |
Medical School Name | OTHER |
Graduation Year | 1983 |
Primary Specialty | GENERAL SURGERY |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | |
Organization Legal Name | |
Group Practice Pac Id | |
Number Of Group Practice Members | |
Line 1 Street Address | 18370 BURBANK BLVD |
Line 2 Street Address | SUITE 607 |
Marker Of Address Line 2 Suppression | |
City | TARZANA |
State | CA |
Zip Code | 913562833 |
Phone Number | |
Hospital Affiliation Ccn 1 | 050761 |
Hospital Affiliation Lbn 1 | PROVIDENCE TARZANA MEDICAL CENTER |
Hospital Affiliation Ccn 2 | |
Hospital Affiliation Lbn 2 | |
Hospital Affiliation Ccn 3 | |
Hospital Affiliation Lbn 3 | |
Hospital Affiliation Ccn 4 | |
Hospital Affiliation Lbn 4 | |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.