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GRAND OB-GYN MEDICAL GROUP INC
NPI 1043571599
Obstetrics & Gynecology - Gynecologic Oncology in Montclair, CA

Active since May 31, 2012
4950 SAN BERNARDINO ST, SUTE 106, MONTCLAIR, CA 91763(909) 625-0615(909) 621-6735 Get Directions Write a Review

NPPES record last updated: June 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Ob-gyn Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND OB-GYN MEDICAL GROUP INC (NPI 1043571599) is a healthcare organization registered as a gynecologic oncology in Montclair, California and active in the NPI registry since May 2012. The organization lists Thomas Tuan Tong Lee, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1043571599
Entity TypeOrganization
Primary Taxonomy207VX0201X
Legal Business NameGRAND OB-GYN MEDICAL GROUP INC
Location Address4950 SAN BERNARDINO ST, SUTE 106Montclair, CA 91763-2328
Mailing Address4950 San Bernardino St, Suite 106Montclair, CA 91763-2328 · (909) 625-0615 · Fax (909) 621-6735
Phone(909) 625-0615
Fax(909) 621-6735
Organization SubpartNo
Authorized OfficialThomas Tuan Tong LeeMedical Director · (909) 625-0615
Enumeration DateMay 31, 2012
Last NPPES UpdateJune 1, 2012
✔ NPI 1043571599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in CA · A37294
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Also ListedObstetrics & Gynecology · Reproductive EndocrinologyTaxonomy 207VE0102X · License A37294 (CA)
Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X
Also ListedSurgeryTaxonomy 208600000X · License A37294 (CA)
4950 SAN BERNARDINO ST, Montclair, CA 91763
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Other Identifiers 2

Medicare OSCAR/certificationZZZ05321ZCA
Medicaid1477763829CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEATRICE FELIX
Behavior Technician
4950 SAN BERNARDINO ST
MONTCLAIR, CA 91763
San Bernardino County (800) 249-1266
JANETTE MORA
Behavior Technician
4950 SAN BERNARDINO ST
MONTCLAIR, CA 91763
San Bernardino County (800) 249-1266
ANA DIEGUEZ
Behavior Technician
4950 SAN BERNARDINO ST
MONTCLAIR, CA 91763
San Bernardino County (800) 249-1266
BRIANNA NUNO
Behavior Technician
4950 SAN BERNARDINO ST
MONTCLAIR, CA 91763
San Bernardino County (800) 249-1266
MS. TACITA HARGROVE
Behavior Technician
4950 SAN BERNARDINO ST
MONTCLAIR, CA 91763
San Bernardino County (800) 249-1266
SAMANTHA FRENCH
Behavior Technician
4950 SAN BERNARDINO ST
MONTCLAIR, CA 91763
San Bernardino County (800) 249-1266
DR. MAZIN Q SABRI M.D.
Neuromusculoskeletal Medicine, Sports Medicine
4950 SAN BERNARDINO ST, SUITE 107
MONTCLAIR, CA 91763
San Bernardino County (909) 625-2393
ISABEL MARY AGUILAR
Behavior Technician
4950 SAN BERNARDINO ST
MONTCLAIR, CA 91763
San Bernardino County (800) 249-1266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Ob-Gyn Medical Group Inc's NPI number?

The NPI number for Grand Ob-Gyn Medical Group Inc is 1043571599. It was assigned to this organization in the NPPES registry on May 31, 2012.

Where is Grand Ob-Gyn Medical Group Inc located?

Grand Ob-Gyn Medical Group Inc is located at 4950 San Bernardino St Sute 106, Montclair, CA 91763. The listed phone number is (909) 625-0615.

What is Grand Ob-Gyn Medical Group Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

When was this NPI record last updated?

The NPPES record for Grand Ob-Gyn Medical Group Inc was last updated on June 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.