# INTELLISURG LLC

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

## Provider details

- **NPI number:** 1679438766
- **Authorized official:** SIVARAMAN K. GOUNDER MD (OWNER)
- **Authorized official phone:** (908) 361-0185

## Contact information

- **Practice address:** 10212 WESTMINSTER AVE STE 102, GARDEN GROVE, CA 92843-4800
- **Practice address phone:** (714) 530-8900
- **Practice address fax:** (714) 509-0605
- **Mailing address:** 10212 WESTMINSTER AVE STE 102, GARDEN GROVE, CA 92843-4800
- **Mailing address phone:** (714) 530-8900
- **Mailing address fax:** (714) 509-0605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 12/19/2025
- **Last updated:** 04/17/2026