Provider Demographics
NPI:1063692440
Name:MAGANITO, JAMES PAUL CHING (DO, MPH, MHA)
Entity type:Individual
Prefix:DR
First Name:JAMES PAUL
Middle Name:CHING
Last Name:MAGANITO
Suffix:
Gender:M
Credentials:DO, MPH, MHA
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1090
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:CA
Mailing Address - Zip Code:95241-1090
Mailing Address - Country:US
Mailing Address - Phone:209-334-1800
Mailing Address - Fax:209-334-2416
Practice Address - Street 1:1617 N CALIFORNIA ST STE 2A
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95204-6117
Practice Address - Country:US
Practice Address - Phone:209-334-1800
Practice Address - Fax:209-334-2416
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAOP60106585207V00000X
MI5101016513207V00000X
CA20A11694207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology