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GRAND MEDISPA GROUP INC. NPI 1023263555


NPI Information

NPI: 1023263555
Provider Name: GRAND MEDISPA GROUP, INC.
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
13768 ROSWELL AVE STE 121
CHINO, CA
ZIP 91710
Phone: (909) 902-1401
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GRAND MEDISPA GROUP, INC. is a surgery in Chino, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. GRAND MEDISPA GROUP, INC. NPI is 1023263555. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13768 ROSWELL AVE STE 121
CHINO, CA
ZIP 91710-404
Phone: (909) 902-1401
Fax: (909) 902-6317

The provider's authorized official is Thomas T. Lee .
The authorized official title is Owner and has the following contact phone number (909) 902-1401.

The enumeration date for this NPI number is 11/25/2008 and was last updated on 11/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA37294CALIFORNIANo
2207Q00000XFamily MedicineG48262CALIFORNIANo
3207V00000XObstetrics & GynecologyG48262CALIFORNIANo
4207V00000XObstetrics & GynecologyA37294CALIFORNIANo
5207YS0123XOtolaryngologyFacial Plastic SurgeryG48262CALIFORNIANo
6208200000XPlastic SurgeryG48262CALIFORNIANo
72086X0206XSurgerySurgical OncologyG48262ARIZONANo
8208D00000XGeneral PracticeG48262CALIFORNIANo
9208VP0000XPain MedicinePain MedicineG48262CALIFORNIANo
10208600000XSurgeryG48262CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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