OrganizationActive
Grand Ob-Gyn Medical Group Inc
NPI 1043571599 · Gynecologic Oncology Physician · Montclair, CA
Provider details
- NPI number
- 1043571599
- Entity type
- Organization
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Thomas Lee, Medical Director
- License
- A37294 (CA)
Practice location
4950 San Bernardino St
Sute 106
Montclair, CA 91763-2328
Phone: (909) 625-0615
Fax: (909) 621-6735
Mailing address
4950 San Bernardino St
Montclair, CA 91763-2328
Registry dates
- Enumerated
- 2012-05-31
- Last updated
- 2012-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.