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Luther Mangoba, Md Inc.
Family Medicine Physician in Riverside, California
NPI 1558387209

Luther Mangoba, Md Inc. is a Family Medicine Physician based in Riverside, CA. Luther Mangoba, Md Inc. practices in Riverside, CA. The NPI Number for Luther Mangoba, Md Inc. is 1558387209 and holds a License No. 05D1038270 (California).

The current practice location address for Luther Mangoba, Md Inc. is 9041 Magnolia Ave, Riverside, CA and can be reached out via phone at 951-687-0004 and via fax at 951-687-0080.

Location: 9041 Magnolia Ave, Riverside, CA, 92503-3900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558387209
Provider Name
Luther Mangoba, Md Inc.
Credential
Provider Entity Type
Organization
Address
9041 Magnolia Ave, Riverside, CA, 92503-3900
Phone Number
951-687-0004
Fax Number
951-687-0080
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05D1038270 01 CA CLIA WAIVER CERTIFICATE
00A775740 05 CA
institution
Provider Business Practice Location Address Details
Address
9041 Magnolia Ave
City
Riverside
State
California
Zip
92503-3900
Phone Number
951-687-0004
Fax Number
951-687-0080
person
Provider Business Mailing Address Details
Address
9041 Magnolia Ave
City
Riverside
State
California
Zip
92503-3900
Phone Number
951-687-0004
Fax Number
951-687-0080
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
05D1038270 (California)
Definition
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.
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