# KINTSUGI SURGICAL II LLC

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

## Provider details

- **NPI number:** 1619685153
- **Authorized official:** CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
- **Authorized official phone:** (310) 259-4706

## Contact information

- **Practice address:** 1127 WILSHIRE BLVD STE 1000, LOS ANGELES, CA 90017-4001
- **Practice address phone:** (213) 328-3600
- **Mailing address:** 1127 WILSHIRE BLVD STE 1000, LOS ANGELES, CA 90017-4001
- **Mailing address phone:** (213) 328-3600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/14/2022
- **Last updated:** 11/14/2022