Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lally Medical Group, a Professional Corporation

Organization Family Medicine Physician · NPI 1407306772

Lally Medical Group, a Professional Corporation provides Family Medicine Physician services in Montclair, California. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

5050 San Bernardino St
Montclair, CA 91763-2326
Phone: (909) 464-8604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1407306772
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Lally — President · (909) 464-9675
NPI enumeratedOctober 10, 2016
Last updated in NPPESJanuary 3, 2018
Mailing address5050 San Bernardino St, Montclair, CA 91763-2326

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