Broad, Jennifer Lauren
Broad, Jennifer Lauren is an individual health care provider with primary practice located at 1640 Newport Blvd Ste 300 , Costa Mesa CA 92627-7725. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Broad, Jennifer Lauren can be contacted via phone (949) 720-9848.Contact Information
Primary practice address
1640 Newport Blvd Ste 300
Costa Mesa CA 92627-7725
Phone: (949) 720-9848
Fax: (949) 720-9195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A113123 | California |
Profile Details
| NPI number | 1801039821 |
|---|---|
| LBN Legal business name | Broad, Jennifer Lauren |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2009 |
| Last updated | Sep 6th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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