Grand Medispa Group, Inc.
NPI #1023263555 in Chino, California
Provider Information
- NPI Number
- 1023263555
- Entity Type
- Organization
- Organization Name
- Grand Medispa Group, Inc.
- Primary Specialty
- Surgery
- Enumeration Date
- Nov 25, 2008
- Last Updated
- Nov 25, 2008
Practice Location
- Address
- 13768 ROSWELL AVE STE 121
- City
- Chino
- State
- California
- ZIP Code
- 91710-1404
- Phone
- (909) 902-1401
Authorized Official
- Name
- THOMAS T. LEE, M.D.
- Title
- OWNER
- Phone
- (909) 902-1401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Family Medicine |
| Obstetrics & Gynecology |
| Otolaryngology - Facial Plastic Surgery — Facial Plastic Surgery |
| Plastic Surgery |
| Surgery - Surgical Oncology — Surgical Oncology |
| General Practice |
| Pain Medicine - Pain Medicine — Pain Medicine |
| Surgery |
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