Grand Ob-Gyn Medical Group INC
NPI #1043571599 in Montclair, California
Provider Information
- NPI Number
- 1043571599
- Entity Type
- Organization
- Organization Name
- Grand Ob-Gyn Medical Group INC
- Primary Specialty
- Obstetrics & Gynecology - Gynecologic Oncology
- Enumeration Date
- May 31, 2012
- Last Updated
- Jun 1, 2012
Practice Location
- Address
- 4950 SAN BERNARDINO ST
- Address 2
- SUTE 106
- City
- Montclair
- State
- California
- ZIP Code
- 91763-2328
- Phone
- (909) 625-0615
Authorized Official
- Name
- THOMAS TUAN TONG LEE, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (909) 625-0615
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Reproductive Endocrinology — Reproductive Endocrinology |
| Obstetrics & Gynecology - Maternal & Fetal Medicine — Maternal & Fetal Medicine |
| Surgery |
| Obstetrics & Gynecology - Gynecologic Oncology — Gynecologic Oncology |
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