LUTHER MANGOBA MD INC. NPI 1558387209

NPI Information

LUTHER MANGOBA, MD INC. is a family medicine in Riverside, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LUTHER MANGOBA, MD INC. NPI is 1558387209. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9041 MAGNOLIA AVE
SUITE 008
RIVERSIDE, CA
ZIP 92503-900
Phone: (951) 687-0004
Fax: (951) 687-0080

The provider's authorized official is Luther Mangoba .
The authorized official title is President and has the following contact phone number (951) 687-0004.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 7/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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