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
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
07/27/2021
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