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Organization
INTELLISURG LLC
Active
Organization
INTELLISURG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIVARAMAN K. GOUNDER MD (OWNER)
(908) 361-0185
Entity
Organization
Contact information
Practice address
10212 WESTMINSTER AVE STE 102, GARDEN GROVE, CA 92843-4800
(714) 530-8900
(714) 509-0605
Mailing address
10212 WESTMINSTER AVE STE 102, GARDEN GROVE, CA 92843-4800
(714) 530-8900
(714) 509-0605
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
207YP0228X
Pediatric Otolaryngology Physician
—
NULL
207YP0228X
Pediatric Otolaryngology Physician
—
—
208200000X
Plastic Surgery Physician
—
NULL
208200000X
Plastic Surgery Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/19/2025
Last updated
04/17/2026
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