BROAD MEDICAL GROUP INC. NPI 1255997763

NPI Information

BROAD MEDICAL GROUP INC. is an obstetrics gynecology in Costa Mesa, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BROAD MEDICAL GROUP INC. NPI is 1255997763. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1640 NEWPORT BLVD STE 300
COSTA MESA, CA
ZIP 92627-725
Phone: (949) 720-9848
Fax: (949) 720-9195

The provider's authorized official is Jennifer Lauren Broad .
The authorized official title is Ceo/president and has the following contact phone number (714) 425-2100.

The enumeration date for this NPI number is 5/10/2019 and was last updated on 1/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.