Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jivianne Kristine Tan Lee, MD

Individual provider Plastic Surgery within the Head & Neck (Otolaryngology) Physician · NPI 1184772972

Jivianne Kristine Tan Lee, MD is an Otolaryngology in Santa Monica, California. Graduated from University of California, Geffen School of Medicine in 1998, 28 years ago. Practices with The Regents of the University of California, a 31-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
28
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1131 Wilshire Blvd Ste 302
Santa Monica, CA 90401-2061
Phone: (424) 259-6559
Fax: (310) 319-3877
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Ucla Medical Plz Ste 550, Los Angeles, CA 90095-3028 — (310) 206-6688

Specialties & licences

Plastic Surgery within the Head & Neck (Otolaryngology) Physician (primary) Taxonomy 207YX0007X · Licence A72248 (CA)

Record details

NPI number1184772972
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESDecember 4, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice The Regents Of The University Of California — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare