Broad Reach Specialty Surgery Inc

LBN: Broad Reach Specialty Surgery Inc
Broad Reach Specialty Surgery Inc is an health care organization with primary practice located at 8117 West Manchester Ave Ste 368, Playa Del Rey CA 90293. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as the primary health care specialty. Broad Reach Specialty Surgery Inc can be contacted via phone (949) 387-4724, or through Hewett, John Joseph via phone (949) 387-4724.

Contact Information

Primary practice address
8117 West Manchester Ave Ste 368 Playa Del Rey CA 90293
Phone: (949) 387-4724
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hewett, John Joseph Doctor of Medicine (MD)
Phone: (949) 387-4724

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X

Profile Details

NPI number 1568971869
LBN Legal business name Broad Reach Specialty Surgery Inc
DBA Doing business as
Authorized official Hewett, John Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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