Grand Medical Group Ob/gyn Inc - Primary Care in Montclair, CA

Grand Medical Group Ob/gyn Inc is a primary clinic (Obstetrics & Gynecology) in Montclair, California. The current practice location for Grand Medical Group Ob/gyn Inc is 4950 San Bernardino St, Ste. 106, Montclair, California. For appointments, you can reach them via phone at (909) 625-9063. The mailing address for Grand Medical Group Ob/gyn Inc is 4950 San Bernardino St, Ste. 106, Montclair, California and phone number is (909) 625-9063.

Grand Medical Group Ob/gyn Inc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1477763829. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (909) 625-9063.

Contact Information

Grand Medical Group Ob/gyn Inc
4950 San Bernardino St
Ste. 106
Montclair
CA 91763-2328
(909) 625-9063
(909) 621-1255

Primary Care Clinic Profile

Full NameGrand Medical Group Ob/gyn Inc
SpecialityObstetrics & Gynecology
Location4950 San Bernardino St, Montclair, California
Authorized Official Name and PositionThomas T. Lee (MEDICAL DIRECTOR)
Authorized Official Contact9096259063
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grand Medical Group Ob/gyn Inc
4950 San Bernardino St
Ste. 106
Montclair
CA 91763-2328

Ph: (909) 625-9063
Grand Medical Group Ob/gyn Inc
4950 San Bernardino St
Ste. 106
Montclair
CA 91763-2328

Ph: (909) 625-9063

NPI Details:

NPI Number1477763829
Provider Enumeration Date05/23/2007
Last Update Date04/02/2009

Medical Identifiers

Medical identifiers for Grand Medical Group Ob/gyn Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477763829NPI-NPPES
GR0051990MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Primary
207VE0102XObstetrics & Gynecology - Reproductive Endocrinology (* (Not Available))Secondary
207VG0400XObstetrics & Gynecology - Gynecology (* (Not Available))Secondary
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine (* (Not Available))Secondary
207VX0000XObstetrics & Gynecology - Obstetrics (* (Not Available))Secondary
207VX0201XObstetrics & Gynecology - Gynecologic Oncology (* (Not Available))Secondary
2083P0901XPreventive Medicine - Public Health & General Preventive Medicine (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary

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