Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIVIANNE KRISTINE TAN LEE, MD
ActiveJIVIANNE KRISTINE TAN LEE, MD is a Plastic Surgery within the Head & Neck healthcare provider located in SANTA MONICA, California. NPI 1184772972 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery within the Head & Neck · SANTA MONICA, CA
Registration Details
- NPI Number
- 1184772972
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 8, 2007 (19.630306656261 yrs)
- Last Updated
- Dec 4, 2019
- License
-
A72248 (CA)
Practice Information
- Address
-
1131 WILSHIRE BLVD STE 302SANTA MONICA, CA, 904012061Browse CA providers · Browse ZIP 90401
- Phone
- 4242596559
- Fax
- 3103193877
- Primary Specialty
-
Plastic Surgery within the Head & Neck
207YX0007X
Other Plastic Surgery within the Head & Neck Providers in SANTA MONICA, CA
| Name | Credential | NPI |
|---|---|---|
| CONG RAN | — | 1194110700 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.