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Organization
KINTSUGI SURGICAL, LLC
Active
Organization
KINTSUGI SURGICAL, LLC
Active
Other names
ROBOTICS OUTPATIENT CENTER LOS ANGELES
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK TAN DEE MD (MEDICAL DIRECTOR)
(213) 328-3600
Entity
Organization
Contact information
Practice address
1127 WILSHIRE BLVD STE 1000, LOS ANGELES, CA 90017-4001
(213) 328-3600
(213) 395-0683
Mailing address
1127 WILSHIRE BLVD STE 1000, LOS ANGELES, CA 90017-4001
(213) 328-3600
(213) 395-0683
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/22/2020
Last updated
07/27/2021
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