Individual provider · Type 1 NPI

Jivianne Kristine Tan Lee, MD

Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Santa Monica, CA

NPI number 1184772972 Active

Practice location

1131 Wilshire Blvd Ste 302
Santa Monica, CA 90401-2061

Fax (310) 319-3877

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice locations

  • 200 Ucla Medical Plz Ste 550, Los Angeles, CA 90095-3028 · (310) 206-6688

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary 207YX0007XA72248 (CA)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeri…

2 other providers at this address

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About NPI 1184772972

Jivianne Kristine Tan Lee, MD's National Provider Identifier is 1184772972, issued on Jan 8, 2007. The primary taxonomy on file is Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X), and the practice location is in Santa Monica, CA. The record was last updated on Dec 4, 2019.