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:
Map and Directions
Authorized official contact:
Name: Lee, Thomas Tuan Tong Doctor of Medicine (MD)
Phone: (909) 625-0615

Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043571599 NPPES
California MEDICAID 1477763829

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