Individual
DR. CATHERINE F MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1234 E. NORTH ST, SUITE 102, MANTECA, CA 95336
(209) 824-2202
(209) 824-2205
Mailing address
P.O. BOX 1090, LODI, CA 95241-1090
(209) 334-1800
(209) 334-1430
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A96553
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
A96553
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A965530
—
CA
01
—
1386636165
GROUP NPI
CA
Enumeration date
11/15/2006
Last updated
10/28/2008
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