Search › California › 363A00000X
Kelly Mountain, PA-C
NPI 1205420312 · on the registry since 2021
Practice
- Address
- 26671 Aliso Creed Road
Aliso Viejo, CA 92656 - Phone
- (949) 791-3107
- Fax
- (949) 791-3184
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California