Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THOMAS TUAN TONG LEE MD INC
Active
Organization
THOMAS TUAN TONG LEE MD INC
Active
Other names
GRAND MEDICAL GROUP OB/GYN INC
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS T. LEE M.D. (MEDICAL DIRECTOR)
(909) 625-9063
Entity
Organization
Contact information
Practice address
4950 SAN BERNARDINO ST, STE. 106, MONTCLAIR, CA 91763-2328
(909) 625-9063
(909) 621-1255
Mailing address
4950 SAN BERNARDINO ST, STE. 106, MONTCLAIR, CA 91763-2328
(909) 625-9063
(909) 621-1255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VE0102X
Reproductive Endocrinology Physician
—
—
207VG0400X
Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207VX0000X
Obstetrics Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0051990
—
CA
Enumeration date
05/23/2007
Last updated
04/02/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up