Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mudjianto Chandra, MD, Inc

Organization Surgery Physician · NPI 1083658827

Mudjianto Chandra, MD, Inc is a Surgery Physician in Tarzana, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18370 Burbank Blvd Ste 607
Tarzana, CA 91356-2804
Phone: (818) 708-1004
Fax: (818) 342-2141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence A52198 (CA)
Surgery Physician Taxonomy 208600000X · Licence A52198 (CA)

Record details

NPI number1083658827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mudjianto Chandra — President · (818) 708-1004
NPI enumeratedJune 15, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address18370 Burbank Blvd, Suite 607, Tarzana, CA 91356-2804

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