Kintaudi, M.D., Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G31192 Issued in CA

Legal business name

KINTAUDI, M.D., INC

Practice address

2010 Wilshire Blvd
Suite 504
Los Angeles, CA 90057-3507

Phone

(213) 483-4441

Fax

(213) 483-4442

NPI assigned

Jun 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Prudencia C. Kintaudi, M.D.

Title

Ceo

Phone

(213) 483-4441

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barry John Freeman, M.D.

  • Anesthesiology Physician
  • Long Beach, CA
  • NPI 1225062698

  General Practice

  NPD (past)
• Edward H. Lazo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
  • NPI 1154301307
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255370037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 WILSHIRE BLVD",
            "address_2": "SUITE 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573507",
            "telephone_number": "213-483-4441",
            "fax_number": "213-483-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 WILSHIRE BLVD",
            "address_2": "SUITE 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573507",
            "telephone_number": "213-483-4441",
            "fax_number": "213-483-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINTAUDI, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINTAUDI",
        "authorized_official_first_name": "PRUDENCIA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-483-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G31192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Takahiro Kinoshita
• Kathryn Lynn Kinsella, MD
• Karen Abigail Kinsley, MSW
• Lisa Kinslow
• Dolly Kintaudi
• Janice Younger Kinter, PH.D.
• Kintsugi Surgical II LLC
• Kintsugi Surgical, LLC (Robotics Outpatient Center Los Angeles)
• Tiffany Hardy Kintzer, PT
• Nicole Kipley, LCSW

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.