Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grand Medispa Group, Inc

Organization Specialist · NPI 1023263555

Grand Medispa Group, Inc is a Specialist in Chino, California. Licensed in Arizona and California. Registered with an NPI since 2008.

Licensed in
AZ, CA
In the registry since
2008
Specialties on file
10
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13768 Roswell Ave Ste 121
Chino, CA 91710-1404
Phone: (909) 902-1401
Fax: (909) 902-6317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence G48262 (CA)
Specialist Taxonomy 174400000X · Licence A37294 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence G48262 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence G48262 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence A37294 (CA)
Facial Plastic Surgery Physician Taxonomy 207YS0123X · Licence G48262 (CA)
Plastic Surgery Physician Taxonomy 208200000X · Licence G48262 (CA)
Surgical Oncology Physician Taxonomy 2086X0206X · Licence G48262 (AZ)
General Practice Physician Taxonomy 208D00000X · Licence G48262 (CA)
Pain Medicine Physician Taxonomy 208VP0000X · Licence G48262 (CA)

Record details

NPI number1023263555
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Lee — Owner · (909) 902-1401
NPI enumeratedNovember 25, 2008
Last updated in NPPESNovember 25, 2008
Mailing address13768 Roswell Avenue Ste 121, Chino, CA 91710-1404

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