Jivianne Kristine Tan Lee
ActiveCalifornia license A72248
License
- Licensed by
- Medical Board of California
- License number
- A72248
- Status
- Active (Current)
- First issued
- June 26, 2000
- Expires
- May 31, 2028
- License holder
- Jivianne Kristine Tan Lee
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1131 Wilshire Blvd Ste 302
Santa Monica, CA 90401-2061
Santa Monica, CA 90401-2061
Los Angeles County