Jivianne Kristine T Lee in Santa Monica - Plastic Surgery Within The Head & Neck
Jivianne Kristine T Lee - NPI 1184772972
Jivianne Kristine T Lee is a Plastic Surgery Within The Head & Neck in Santa Monica, California. Jivianne Kristine T Lee practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Jivianne Kristine T Lee is 1184772972. The last update date is 2019-12-04.
Jivianne Kristine T Lee's current location address is 1131 Wilshire Blvd Ste 302, Santa Monica, California. You can contact this provider via phone number 4242596559 and fax number 3103193877. The mailing address for Jivianne Kristine T Lee is 1131 Wilshire Blvd Ste 302, Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jivianne Kristine T Lee |
|---|---|
| Address | 1131 Wilshire Blvd Ste 302, Santa Monica, California |
| Phone Number | 4242596559 |
| Fax Number | 3103193877 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184772972 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2019-12-04 |
Provider Mailing Address Detail
| Address | 1131 Wilshire Blvd Ste 302 |
|---|---|
| City | Santa Monica |
| State | California (CA) |
| Post Code | 904012061 |
| Phone Number | 4242596559 |
| Fax Number | 3103193877 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | A72248 |
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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 tissu |
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What is the unique identifier code issued to Jivianne Kristine T Lee by the Centers for Medicare & Medicaid Services (CMS)?
The Jivianne Kristine T Lee has been assigned the NPI (National Provider Identifier) 1184772972. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jivianne Kristine T Lee?
The Jivianne Kristine T Lee is physically situated at 1131 Wilshire Blvd Ste 302, in the city of Santa Monica, state of CA, with the postal code 904012061.
What is Jivianne Kristine T Lee's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jivianne Kristine T Lee is Plastic Surgery Within The Head & Neck, and the taxonomy classification code that categorizes this area of expertise is 207Yx0007X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184772972 to Jivianne Kristine T Lee?
The Jivianne Kristine T Lee received its 1184772972 assignment from the Centers for Medicare & Medicaid Services on 2007-01-08.
As of what date were the Jivianne Kristine T Lee's details last updated?
The information pertaining to the Jivianne Kristine T Lee, including its address, specialty, and other details, was most recently updated on 2019-12-04.