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Organization
USHA MANTHA M D INC
Active
Organization
USHA MANTHA M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
USHA MANTHA (OWNER)
(909) 920-5944
Entity
Organization
Contact information
Practice address
1902 ROYALTY DR, SUITE 200, POMONA, CA 91767-3030
(909) 629-2290
Mailing address
1902 ROYALTY DR STE 200, POMONA, CA 91767-3059
(909) 629-2290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C52047
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C52047
STATE LICENSE
CA
Enumeration date
03/25/2010
Last updated
01/07/2026
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