MEDICARE: INTELLISURG LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208200000X	Plastic Surgery Physician
2	207YP0228X	Pediatric Otolaryngology Physician
3	1223S0112X	Oral and Maxillofacial Surgery (Dentist)
4	207X00000X	Orthopaedic Surgery Physician
5	208D00000X	General Practice Physician
6	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1679438766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTELLISURG LLC

Provider Business Mailing Address
First Line	:	10212 WESTMINSTER AVE STE 102
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-4800
Country	:	US
Telephone Number	:	714-530-8900
Fax Number	:	714-509-0605

Provider Business Practice Location Address
First Line	:	10212 WESTMINSTER AVE STE 102
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-4800
Country	:	US
Telephone Number	:	714-530-8900
Fax Number	:	714-509-0605

Authorized Official
Title or Position	:	OWNER
Name	:	SIVARAMAN K. GOUNDER
Credential	:	MD
Telephone Number	:	908-361-0185

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	04/17/2026

Similar Medicare Providers

1962400440 — DR. JASON J CHIU M.D.
Practice Location Address:

10212 WESTMINSTER AVENUE , SUITE 102
GARDEN GROVE, CA
92843-4800

Practice Phone: 714-210-1718
Practice Fax: 714-210-1720

1205861549 — THANH-MAI TRINH MD, INC
Practice Location Address:

10212 WESTMINSTER AVE , STE 114
GARDEN GROVE, CA
92843-4800

Practice Phone: 714-638-1864
Practice Fax: 714-638-1964

1578589560 — THANH-MAI TRINH MD
Practice Location Address:

10212 WESTMINSTER AVE , 114
GARDEN GROVE, CA
92843-4800

Practice Phone: 714-638-1864
Practice Fax: 714-638-1964

1952412470 — DR. STEVE T. HWANG M.D.
Practice Location Address:

10212 WESTMINSTER AVE , SUITE # 102
GARDEN GROVE, CA
92843-4800

Practice Phone: 714-210-1718
Practice Fax: 714-210-1720

1427254325 — STEVE T.HWANG, M.D. INC.
Practice Location Address:

10212 WESTMINSTER AVE , SUITE 102
GARDEN GROVE, CA
92843-4800

Practice Phone: 714-210-1718
Practice Fax: 714-210-1720

1053507194 — JASON J CHIU MD INC
Practice Location Address:

10212 WESTMINSTER AVE STE 102
GARDEN GROVE, CA
92843-4800

Practice Phone: 714-210-1718
Practice Fax:

Directions to “INTELLISURG LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.