Christopher F Tenggardjaja

Urology

Los Angeles, CA 90027

Male - 16 Yrs Experience - English

Location

4733 W Sunset Blvd

Los Angeles, CA 90027

Phone number

(213) 667-4784

Summary

Christopher F Tenggardjaja is a Urology located at Los Angeles, CA 90027 and is affiliated with Kaiser Foundation Hospital - Los Angeles Hospitals. He received his medical degree from Northwestern University Feinberg Medical School and has been in practice for more than 16 years.

Professional Identification

  1. NPI#: 1003029646
  2. PAC ID: 6305096389
  3. Clinician Enrollment ID: I20141108000360
  4. Gender: Male
  5. Enumeration: May 8 2007
  6. Last Updated: November 9 2012

Medical Credentials

  1. Credential: Undefined
  2. Medical school: Northwestern University Feinberg Medical School
  3. Graduation year: 2006
  4. Taxonomy: 390200000X
  5. Specialty: Urology
  6. All specialties: Urology

Medical Practice

  1. Organization: Southern California Permanente Medical Group
  2. Group PAC ID: 6002729175
  3. Number of Group Members: 7612
  4. Medicare CCN: 050138
  5. Hospital affiliation: Kaiser Foundation Hospital - Los Angeles

Medicare Assignment

  1. Clinician accepts Medicare Assignment: Y
  2. Group accepts Medicare Assignment: Y

Locations

  1. 4733 W Sunset Blvd, Los Angeles CA 90027 (213) 667-4784
  2. 4725 -4733 Sunset Blvd, Los Angeles CA 90027 (323) 783-4011
  3. 4900 W Sunset Blvd, Los Angeles CA 90027 (323) 783-4011

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