IndividualActive
Jivianne Lee, MD
NPI 1184772972 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Santa Monica, CA
Provider details
- NPI number
- 1184772972
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- A72248 (CA)
Practice location
1131 Wilshire Blvd Ste 302
Santa Monica, CA 90401-2061
Phone: (424) 259-6559
Fax: (310) 319-3877
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2019-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.