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

Kintsugi Surgical II LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1619685153

Kintsugi Surgical II LLC is an Ambulatory Surgical Clinic/Center in Los Angeles, California. Registered with an NPI since 2022.

In the registry since
2022
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

1127 Wilshire Blvd Ste 1000
Los Angeles, CA 90017-4001
Phone: (213) 328-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1619685153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Doan — Managing Associate General Counsel · (310) 259-4706
NPI enumeratedNovember 14, 2022
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022
Mailing address1127 Wilshire Blvd Ste 1000, Los Angeles, CA 90017-4001

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