Organization · Type 2 NPI

Kintsugi Surgical, LLC

Ambulatory Surgical Clinic/Center · Los Angeles, CA

NPI number 1912506601 Active

Practice location

1127 Wilshire Blvd Ste 1000
Los Angeles, CA 90017-4001

Call (213) 328-3600 Map

Fax (213) 395-0683

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XNone listed
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1912506601

Kintsugi Surgical, LLC's National Provider Identifier is 1912506601, issued on Oct 22, 2020. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 27, 2021.