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

Kintsugi Surgical, LLC

Organization Surgery Physician · NPI 1912506601

Kintsugi Surgical, LLC is a Surgery Physician in Los Angeles, California. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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
Fax: (213) 395-0683
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
Surgery Physician Taxonomy 208600000X

Record details

NPI number1912506601
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derek Dee — Medical Director · (213) 328-3600
Other names Robotics Outpatient Center Los Angeles; Robotics Outpatient Center Los Angeles
NPI enumeratedOctober 22, 2020
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021
Mailing address1127 Wilshire Blvd Ste 1000, Los Angeles, CA 90017-4001

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