# KINTAUDI, M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255370037
- **Authorized official:** DR. PRUDENCIA C. KINTAUDI M.D. (CEO)
- **Authorized official phone:** (213) 483-4441

## Contact information

- **Practice address:** 2010 WILSHIRE BLVD, SUITE 504, LOS ANGELES, CA 90057-3507
- **Practice address phone:** (213) 483-4441
- **Practice address fax:** (213) 483-4442
- **Mailing address:** 2010 WILSHIRE BLVD, SUITE 504, LOS ANGELES, CA 90057-3507
- **Mailing address phone:** (213) 483-4441
- **Mailing address fax:** (213) 483-4442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G31192 | CA | Yes |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 08/22/2020