Organization
JADE PHOENIX AESTHETIC MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LEE MD (OWNER/MEDICAL DIRECTOR)
(702) 768-8893
Entity
Organization
Contact information
Practice address
22 ODYSSEY STE 265, IRVINE, CA 92618-7701
(949) 988-0289
Mailing address
117 HEATHER MIST, IRVINE, CA 92618-4812
(702) 768-8893
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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