Dr. Jussein Rigor Mangondato

M.D. | Pediatrics | Male

Dr. Jussein Rigor Mangondato, M.D. is a Stockton, California based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Dr. Jussein Rigor Mangondato is 701 E Channel St, Stockton, California - 95202-2628. He can be contacted on phone at 209-944-4700. Dr. Jussein Rigor Mangondato is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jussein Rigor Mangondato is 1306957279 which was assigned by NPPES on 31 Aug, 2006 and it was last updated on 30 Jan, 2012. Dr. Jussein Rigor Mangondato license number is A82555 for Pediatrics (208000000X) in California.
Dr. Jussein Rigor Mangondato is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Jussein Rigor Mangondato basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Dr. Jussein Rigor Mangondato
Credential :M.D.
Gender :Male
Business Address:
Dr. Jussein Rigor Mangondato address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :701 E Channel St
Stockton, CA, 95202-2628
United States
Phone Number :209-944-4700
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1306957279
NPI Entity Type : Individual
First Enrolment Date : 31 Aug, 2006
Last Updated On : 30 Jan, 2012
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jussein Rigor Mangondato are as mentioned. Primary taxonomy code for Dr. Jussein Rigor Mangondato, M.D. is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYesA82555CA
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jussein Rigor Mangondato such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
GR0071200MEDICAIDCA
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 779
Stockton, CA, 95201-0779
United States
Phone Number :209-373-2800
Business Location:
Patients can refer following map for directions to Dr. Jussein Rigor Mangondato practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.