Organization
ALIGNED COMMUNITY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUTHER MANGOBA MD (CEO/PRESIDENT)
(951) 687-0004
Entity
Organization
Contact information
Practice address
9041 MAGNOLIA AVE, SUITE 008, RIVERSIDE, CA 92503-3900
(951) 687-0004
Mailing address
9041 MAGNOLIA AVE, SUITE 008, RIVERSIDE, CA 92503-3900
(951) 687-0004
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
3942935
CA
302R00000X
Health Maintenance Organization
Primary
3942935
CA
Other
Enumeration date
09/28/2016
Last updated
09/29/2016
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