Organization · Type 2 NPI
Broad Medical Group Inc.
Obstetrics & Gynecology Physician · Costa Mesa, CA
NPI number
1255997763
Active
Practice location
1640 Newport Blvd Ste 300
Costa Mesa, CA 92627-7725
Fax (949) 720-9195
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Physician Primary | 207V00000X | None listed |
Obstetrics & Gynecology Physician: 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.
5 other providers at this address
- Jeffrey G. Dyo, MDInternal Medicine Physician Costa Mesa, CA NPI 1538663158
- Jennifer Lauren Broad, MDObstetrics & Gynecology Physician Costa Mesa, CA NPI 1801039821
- Kathy Phuong Tran, PA-CPhysician Assistant Costa Mesa, CA NPI 1205395373
- Matthew C. Boone, MDInternal Medicine Physician Costa Mesa, CA NPI 1487685095
- Vanessa Yu-Wen Wu, MDFamily Medicine Physician Costa Mesa, CA NPI 1699138511
Other obstetrics & gynecology physician providers in Costa Mesa
About NPI 1255997763
Broad Medical Group Inc.'s National Provider Identifier is 1255997763, issued on May 10, 2019. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Sep 6, 2025.