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NINA J LEE TALL MD INC
NPI 1215020292
Otolaryngology - Plastic Surgery within the Head & Neck in Redondo Beach, CA

Active since October 02, 2006
1200 S PACIFIC COAST HWY STE C, REDONDO BEACH, CA 90277(310) 375-2102(310) 791-6319 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nina J Lee Tall Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NINA J LEE TALL MD INC (NPI 1215020292) is a healthcare organization registered as a plastic surgery within the head & neck in Redondo Beach, California and active in the NPI registry since October 2006. The organization lists Nina J Lee-tall, President, as its authorized official.

NPPES Registry Identity

NPI1215020292
Entity TypeOrganization
Primary Taxonomy207YX0007X
Legal Business NameNINA J LEE TALL MD INC
Location Address1200 S PACIFIC COAST HWY STE CRedondo Beach, CA 90277-4987
Mailing Address1200 S Pacific Coast Hwy Ste CRedondo Beach, CA 90277-4987 · (310) 375-2102 · Fax (310) 791-6319
Phone(310) 375-2102
Fax(310) 791-6319
Organization SubpartNo
Authorized OfficialNina J Lee-tallPresident · (310) 375-2102
Enumeration DateOctober 2, 2006
Last NPPES UpdateApril 4, 2025
NPPES CertifiedApril 4, 2025
✔ NPI 1215020292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in CA · A61349
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
1200 S PACIFIC COAST HWY STE C, Redondo Beach, CA 90277
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nina J Lee Tall Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nina J Lee Tall MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nina Lee-Tall, MD
Otolaryngology
NPI 1821029794
1200 S PACIFIC COAST HWY STE C
Redondo Beach, CA 90277
(310) 375-2102
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nina J Lee Tall MD Inc's NPI number?

The NPI number for Nina J Lee Tall MD Inc is 1215020292. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Nina J Lee Tall MD Inc located?

Nina J Lee Tall MD Inc is located at 1200 S Pacific Coast Hwy Ste C, Redondo Beach, CA 90277. The listed phone number is (310) 375-2102.

What is Nina J Lee Tall MD Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Nina J Lee Tall MD Inc enrolled in Medicare?

Yes. Nina J Lee Tall MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nina J Lee Tall MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Nina J Lee Tall MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nina J Lee Tall MD Inc was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.