Lee, Jivianne Kristine Tan
Lee, Jivianne Kristine Tan is an individual health care provider with primary practice located at 1131 Wilshire Blvd Ste 302 , Santa Monica CA 90401-2061. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as her primary health care specialty. Lee, Jivianne Kristine Tan can be contacted via phone (424) 259-6559.Contact Information
Primary practice address
1131 Wilshire Blvd Ste 302
Santa Monica CA 90401-2061
Phone: (424) 259-6559
Fax: (310) 319-3877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | A72248 | California |
Profile Details
| NPI number | 1184772972 |
|---|---|
| LBN Legal business name | Lee, Jivianne Kristine Tan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Dec 4th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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