# LARISSE LEE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** L.A. Vein Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376811406
- **Authorized official:** DR. LARISSE KATHERINE LEE M.D. (MD & PRESIDENT)
- **Authorized official phone:** (818) 325-0400

## Contact information

- **Practice address:** 4955 VAN NUYS BLVD, SUITE 704, SHERMAN OAKS, CA 91403
- **Practice address phone:** (818) 325-0400
- **Practice address fax:** (818) 325-0404
- **Mailing address:** 4955 VAN NUYS BLVD, SUITE 704, SHERMAN OAKS, CA 91403
- **Mailing address phone:** (818) 325-0400
- **Mailing address fax:** (818) 325-0404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2011
- **Last updated:** 12/03/2019