Organization
ENHANCED DERMATOLOGY OF ORANGE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LEFEVRE (BILLER)
(657) 331-1901
Entity
Organization
Contact information
Practice address
17601 17TH ST STE 110, TUSTIN, CA 92780-1949
(714) 790-0005
(714) 699-2444
Mailing address
17601 17TH ST STE 110, TUSTIN, CA 92780-1949
(714) 790-0005
(714) 699-2444
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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