# RIPDEEP MANGAT MD, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639281835
- **Authorized official:** RIPDEEP MANGAT (PRESIDENT)
- **Authorized official phone:** (949) 683-4171

## Contact information

- **Practice address:** 320 SUPERIOR AVE, SUITE 360, NEWPORT BEACH, CA 92663-2716
- **Practice address phone:** (949) 683-4171
- **Mailing address:** 26895 ALISO CREEK RD, SUITE B581, ALISO VIEJO, CA 92656-5301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | A65357 | CA | Yes |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 08/22/2020