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Organization
BROAD REACH SPECIALTY SURGERY INC
Active
Organization
BROAD REACH SPECIALTY SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JOSEPH HEWETT MD (PRESIDENT)
(949) 387-4724
Entity
Organization
Contact information
Practice address
1400 REYNOLDS AVE STE 200, IRVINE, CA 92614-5563
(949) 387-4724
Mailing address
1400 REYNOLDS AVE STE 200, IRVINE, CA 92614-5563
(949) 387-4724
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
09/29/2017
Last updated
04/07/2025
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