| NPI | 1477763829 |
|---|---|
| Doing Business As | GRAND MEDICAL GROUP OB/GYN INC |
| Entity Type | Organization |
| Authorized Contact | THOMAS T. LEE Medical Director 909-625-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| 207Q00000X Family Medicine | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 208600000X Surgery | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2009-04-02 |