Dr. Luther Mangoba, M.D.
Family Medicine in Riverside, CA. Individual provider (NPI-1).
NPI number1528041894
StatusActive
Last updated in NPPESJul 3, 2014
Details
- NPI
- 1528041894
- Entity type
- Individual (NPI-1)
- Name
- Dr. Luther Mangoba
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2005
- Last updated
- Jul 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A77574 | CA | Yes |
Practice location
9041 Magnolia AveSuite 008
Riverside, CA 92503-3900
Phone 951-687-0004 · Fax 951-687-0080
Mailing address
9041 Magnolia AveSuite 008
Riverside, CA 92503-3900
Phone 951-687-0004 · Fax 951-687-0080
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