Grand Ob-Gyn Medical Group Inc
LBN: Grand Ob-Gyn Medical Group Inc
Grand Ob-Gyn Medical Group Inc is an health care organization with primary practice located at 4950 San Bernardino St Sute 106, Montclair CA 91763-2328. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Reproductive Endocrinology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Gynecologic Oncology is the primary health care specialty.
Grand Ob-Gyn Medical Group Inc can be contacted via phone (909) 625-0615, or through Lee, Thomas Tuan Tong via phone (909) 625-0615.
Contact Information
Primary practice address
4950 San Bernardino St Sute 106
Montclair CA 91763-2328
Phone: (909) 625-0615
Fax: (909) 621-6735
Website:
Authorized official contact:
Name: Lee, Thomas Tuan Tong Doctor of Medicine (MD)
Phone: (909) 625-0615
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | A37294 | California |
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | ||
Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | A37294 | California |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | A37294 | California |
Profile Details
NPI number | 1043571599 |
---|---|
LBN Legal business name | Grand Ob-Gyn Medical Group Inc |
DBA Doing business as | |
Authorized official | Lee, Thomas Tuan Tong Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 31st, 2012 |
Last updated | Jun 1st, 2012 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043571599 | NPPES |
California | MEDICAID | 1477763829 |
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