Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jade Phoenix Aesthetic Medicine, PC

Organization Ambulatory Surgical Clinic/Center · NPI 1871331116

Jade Phoenix Aesthetic Medicine, PC is an Ambulatory Surgical Clinic/Center in Irvine, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22 Odyssey Ste 265
Irvine, CA 92618-7701
Phone: (949) 988-0289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1871331116
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Lee — Owner/Medical Director · (702) 768-8893
NPI enumeratedJuly 19, 2024
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024
Mailing address117 Heather Mist, Irvine, CA 92618-4812

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