Grand Ob-Gyn Medical Group Inc
Grand Ob-Gyn Medical Group Inc provides Reproductive Endocrinology Physician services in Montclair, California. Licensed in California. Registered with an NPI since 2012.
- Licensed in
- CA
- In the registry since
- 2012
- Specialties on file
- 4
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4950 San Bernardino St Sute 106Montclair, CA 91763-2328 Not confirmed with CMS for 14 years — call before visiting
Phone: (909) 625-0615
Fax: (909) 621-6735
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gynecologic Oncology Physician (primary) | Taxonomy 207VX0201X · Licence A37294 (CA) |
|---|---|
| Reproductive Endocrinology Physician | Taxonomy 207VE0102X · Licence A37294 (CA) |
| Maternal & Fetal Medicine Physician | Taxonomy 207VM0101X |
| Surgery Physician | Taxonomy 208600000X · Licence A37294 (CA) |
Record details
| NPI number | 1043571599 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Lee — Medical Director · (909) 625-0615 |
| NPI enumerated | May 31, 2012 |
| Last updated in NPPES | June 1, 2012 |
| Mailing address | 4950 San Bernardino St, Suite 106, Montclair, CA 91763-2328 |