Usha Mantha MD

NPI 1306806948 - Family Medicine - 207Q00000X

NPI Details
NPI 1306806948
Gender Female
Enumeration Date 03/27/2006
Last Updated 09/19/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1902 ROYALTY DR
SUITE 200
POMONA CA, 91767-3030, US
Phone (909) 629-2290
Fax (909) 629-7278
Business Location
1902 ROYALTY DR
SUITE 200
POMONA CA, 91767-3030, US
Phone (909) 629-2290
Fax (909) 629-7278
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number C52047
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According to our database, Usha Mantha MD NPI is 1306806948, taxonomy code is 207Q00000X and license number is C52047, license state is located at California. Usha Mantha MD physically located at 1902 Royalty Dr, Pomona CA, 91767-3030. NPI Number Usha Mantha MD has the Individual type.

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1306806948 NPI number is provided on an as is basis without warranty of any kind. 1306806948 is maintained by the National Plan & Provider Enumeration System. The contents of Usha Mantha MD are for informational purposes only.