Jivianne Kristine Tan Lee
Plastic Surgeon (Head & Neck)
1131 Wilshire Blvd Ste 302
Santa Monica
, California 90401-2061
Jivianne Kristine Tan Lee
Plastic Surgeon (Head & Neck)
1131 Wilshire Blvd Ste 302
Santa Monica
, California 90401-2061
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Jivianne Kristine Tan Lee
- 5767 W Century Blvd Ste 400
- Los Angeles, CA
- Zip : 90045-5631
- Phone :
Second Address
- Jivianne Kristine Tan Lee
- 1131 Wilshire Blvd Ste 302
- Santa Monica, CA
- Zip : 90401-2061
- Fax : (310) 319-3877
- Phone : (424) 259-6559
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FAQs
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Is Jivianne Kristine Tan Lee a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | A72248 | CA |
National Provider Identifier
| NPI | 1184772972 |
|---|---|
| Provider Name | Jivianne Kristine Tan Lee |
| First Address | Los Angeles, CA 90045-5631 |
| Second Address | Santa Monica, CA 90401-2061 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2007 |
| Last Update Date | 04/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.