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

Intellisurg LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1679438766

Intellisurg LLC is an Oral and Maxillofacial Surgery (Dentist) in Garden Grove, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10212 Westminster Ave Ste 102
Garden Grove, CA 92843-4800
Phone: (714) 530-8900
Fax: (714) 509-0605
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Pediatric Otolaryngology Physician Taxonomy 207YP0228X
Plastic Surgery Physician Taxonomy 208200000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1679438766
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sivaraman Gounder — Owner · (908) 361-0185
NPI enumeratedDecember 19, 2025
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026
Mailing address10212 Westminster Ave Ste 102, Garden Grove, CA 92843-4800

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