Organization · Type 2 NPI

Grand Ob-Gyn Medical Group Inc

Gynecologic Oncology Physician · Montclair, CA

NPI number 1043571599 Active

Practice location

4950 San Bernardino St, Sute 106
Montclair, CA 91763-2328

Fax (909) 621-6735

Specialties and licenses

Taxonomy	Code	License
Reproductive Endocrinology Physician	207VE0102X	A37294 (CA)
Maternal & Fetal Medicine Physician	207VM0101X	None listed
Gynecologic Oncology Physician Primary	207VX0201X	A37294 (CA)
Surgery Physician	208600000X	A37294 (CA)

Gynecologic Oncology Physician: 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.

130 other providers at this address

About NPI 1043571599

Grand Ob-Gyn Medical Group Inc's National Provider Identifier is 1043571599, issued on May 31, 2012. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Montclair, CA. The record was last updated on Jun 1, 2012.