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

Dr. Mudjianto Chandra, MD

Individual provider Surgery Physician · NPI 1225152515

Dr. Mudjianto Chandra, MD is a General Surgery in Tarzana, California. Qualified in 1983, 43 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
43
Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

18370 Burbank Blvd Ste 607
Tarzana, CA 91356-2804
Phone: (818) 709-8161
Fax: (818) 709-8160
Show map & directions

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 number1225152515
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address18370 Burbank Blvd, Suite 607, Tarzana, CA 91356-2804

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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