Mantha, Usha
Mantha, Usha is an individual health care provider with primary practice located at 1902 Royalty Dr Suite 200, Pomona CA 91767-3030. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mantha, Usha can be contacted via phone (909) 629-2290.Contact Information
Primary practice address
1902 Royalty Dr Suite 200
Pomona CA 91767-3030
Phone: (909) 629-2290
Fax: (909) 629-7278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C52047 | California |
Profile Details
| NPI number | 1306806948 |
|---|---|
| LBN Legal business name | Mantha, Usha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Sep 19th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306806948 | NPPES |
| California | MEDICAID | 00C520470 |
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