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Jivianne Kristine Tan Lee, MD
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Santa Monica, California
NPI 1184772972

Jivianne Kristine Tan Lee is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician based in Los Angeles, CA and is specialized in Plastic Surgery within the Head & Neck. Jivianne Kristine Tan Lee practices in Santa Monica, CA and has the professional credentials of MD. The NPI Number for Jivianne Kristine Tan Lee is 1184772972 and holds a License No. A72248 (California).

The current practice location address for Jivianne Kristine Tan Lee is 1131 Wilshire Blvd Ste 302, Santa Monica, CA and can be reached out via phone at 424-259-6559 and via fax at 310-319-3877.

Location: 1131 Wilshire Blvd Ste 302, Santa Monica, CA, 90045-5631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184772972
Provider Name
Jivianne Kristine Tan Lee
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1131 Wilshire Blvd Ste 302, Santa Monica, CA, 90045-5631
Phone Number
424-259-6559
Fax Number
310-319-3877
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1131 Wilshire Blvd Ste 302
City
Santa Monica
State
California
Zip
90401-2061
Phone Number
424-259-6559
Fax Number
310-319-3877
person
Provider Business Mailing Address Details
Address
1131 Wilshire Blvd Ste 302
City
Santa Monica
State
California
Zip
90401-2061
Phone Number
424-259-6559
Fax Number
310-319-3877
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
A72248 (California)
Definition
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 surgeries are practiced, there are many additional procedures which interface with them.
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