Organization
KINTAUDI, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRUDENCIA C. KINTAUDI M.D. (CEO)
(213) 483-4441
Entity
Organization
Contact information
Practice address
2010 WILSHIRE BLVD, SUITE 504, LOS ANGELES, CA 90057-3507
(213) 483-4441
(213) 483-4442
Mailing address
2010 WILSHIRE BLVD, SUITE 504, LOS ANGELES, CA 90057-3507
(213) 483-4441
(213) 483-4442
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G31192
CA
Other
Enumeration date
06/06/2006
Last updated
08/22/2020
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