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Search › California › 183500000X

Immanuel Tjahjadi

NPI 1295646263 · on the registry since 2026 · sole proprietor

Practice

Address
533 Parnassus Ave
San Francisco, CA 94143
Phone
(626) 715-4062
Organisation at this address
University Of California
Ucsf Medical Group Business Services
Ucsf Medical Group Business Services
Ucsf Medical Group Business Services
University Of California San Francisco
Inferred from a shared address, not stated in the registry.
Clinicians at this address
77

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California