Organization
KELLY MAH, M.D.
Active
Other names
Manteca Obstetrics and Gynecology Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MAH M.D. (PRESIDENT)
(209) 823-7616
Entity
Organization
Contact information
Practice address
421 E CENTER ST, MANTECA, CA 95336-4718
(209) 823-7616
(209) 823-4352
Mailing address
421 E CENTER ST, MANTECA, CA 95336-4718
(209) 823-7616
(209) 823-4352
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G065156
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G065156
MEDICAL LICENSE NUMBER
CA
05
—
GR0045320
—
CA
Enumeration date
09/25/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us