# WOMENS HEALTH & WELLNESS MEDICAL OFFICE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548393119
- **Authorized official:** MRS. MICHELE R BROAD RNP (OWNER)
- **Authorized official phone:** (951) 304-3180

## Contact information

- **Practice address:** 40700 CALIFORNIA OAKS RD, STE. 205, MURRIETA, CA 92562-5789
- **Practice address phone:** (951) 304-3180
- **Practice address fax:** (951) 304-2735
- **Mailing address:** 40700 CALIFORNIA OAKS RD, STE. 205, MURRIETA, CA 92562-5789
- **Mailing address phone:** (951) 304-3180
- **Mailing address fax:** (951) 304-2735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 428809 | CA | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | 428809 | CA | — |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 12/15/2015
