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Dr. MUDJIANTO CHANDRA -- M.D.

Individual Provider (NPI-1) Active

Colon & Rectal Surgery

Provider Information

NPI Number
1225152515
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
18370 BURBANK BLVD SUITE 607, TARZANA, CA, 913562804
Phone
(818) 709-8161
Fax
(818) 709-8160

Specialties & Taxonomies

Surgery License: CA #A52198
Colon & Rectal Surgery Primary License: CA #A52198

All Addresses

MAILING

18370 BURBANK BLVD SUITE 607

TARZANA, CA, 913562804

(818) 709-8161

LOCATION

18370 BURBANK BLVD SUITE 607

TARZANA, CA, 913562804

(818) 709-8161