Healthcare Provider Details

I. General information

NPI: 1770292310
Provider Name (Legal Business Name): JADE ZURIA LEMOS MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2022
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W TOWN AND COUNTRY RD STE 1250
ORANGE CA
92868-4633
US

IV. Provider business mailing address

5025 CUMBRAE ISLE WAY
ANTELOPE CA
95843-5639
US

V. Phone/Fax

Practice location:
  • Phone: 646-687-4646
  • Fax:
Mailing address:
  • Phone: 916-620-3654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number158438
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: