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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