Jivianne Kristine Tan Lee, MD is a plastic surgery within the head and neck otolaryngology in Santa Monica, CA with 26 years of experience. The provider is 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. Jivianne Kristine Tan Lee, MD NPI is 1184772972. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:1998
The provider's business location address is:
1131 WILSHIRE BLVD STE 302
SANTA MONICA, CA
ZIP 90401-061
Phone: (424) 259-6559
Fax: (310) 319-3877
The NPI 1184772972 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/8/2007 and was last updated on 12/4/2019.