| Kintaudi, M.d., Inc | |
|
2010 Wilshire Blvd Suite 504 Los Angeles CA 90057-3507 | |
| (213) 483-4441 | |
| (213) 483-4442 |
| Full Name | Kintaudi, M.d., Inc |
|---|---|
| Speciality | General Practice |
| Location | 2010 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Prudencia C. Kintaudi (CEO) |
| Authorized Official Contact | 2134834441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kintaudi, M.d., Inc 2010 Wilshire Blvd Suite 504 Los Angeles CA 90057-3507 Ph: (213) 483-4441 | Kintaudi, M.d., Inc 2010 Wilshire Blvd Suite 504 Los Angeles CA 90057-3507 Ph: (213) 483-4441 |
| NPI Number | 1255370037 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255370037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G31192 (California) | Primary |
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