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Contact Information

JIVIANNE K LEE, MD
1131 WILSHIRE BLVD STE 302
SANTA MONICA, CA90401-2061
 Phone: 424-259-6559
 Fax: 310-319-3877
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JIVIANNE K LEE · (Female)

NPI Number 1184772972
Status Active
Credentials MD
Entity Individual
Enumeration date 01/08/2007
Last updated 12/04/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A72248
Hospital affiliation(s)
  • RONALD REAGAN UCLA MEDICAL CENTER - (Acute Care)
    757 WESTWOOD PLAZA
    LOS ANGELES, CA 90095
  • SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL - (Acute Care)
    1250 16TH STREET
    SANTA MONICA, CA 90404
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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