Organization
NINA J LEE TALL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA J LEE-TALL MD (PRESIDENT)
(310) 375-2102
Entity
Organization
Contact information
Practice address
1200 S PACIFIC COAST HWY STE C, REDONDO BEACH, CA 90277-4987
(310) 375-2102
(310) 791-6319
Mailing address
1200 S PACIFIC COAST HWY STE C, REDONDO BEACH, CA 90277-4987
(310) 375-2102
(310) 791-6319
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
A61349
CA
Other
Enumeration date
10/02/2006
Last updated
04/04/2025
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