Nina J Lee Tall MD Inc

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

A61349 Issued in CA

Legal business name

NINA J LEE TALL MD INC

Practice address

1200 S Pacific Coast Hwy Ste C
Redondo Beach, CA 90277-4987

Phone

(310) 375-2102

Fax

(310) 791-6319

NPI assigned

Oct 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nina J Lee-Tall, MDNPI 1821029794

Title

President

Phone

(310) 375-2102

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nina Lee-Tall, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Redondo Beach, CA
  • NPI 1821029794
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1215020292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S PACIFIC COAST HWY STE C",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774987",
            "telephone_number": "310-375-2102",
            "fax_number": "310-791-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S PACIFIC COAST HWY STE C",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774987",
            "telephone_number": "310-375-2102",
            "fax_number": "310-791-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA J LEE TALL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "LEE-TALL",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-375-2102",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CA",
            "license": "A61349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Beth Nickerson, MSW, ACSW
• Kimberly Ruth Nicolson, DSW, LCSW
• Diana Flavia Nicorici, NP
• Kevin B Niehaus, MSE, PSYD, LPCC,
• Nilesh Patel D O Inc
• Nina Le, D.D.S., Inc.
• Heather M Nisenbaum
• Kent Nishiya, DC
• Lorene Susan Nolan, RN
• Nonno Wellness Center LLC

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.