Dr. Mark Russell Mangold
Chiropractic Sports Physician
751 S Weir Canyon Rd Ste 181
Anaheim
, California 92808-1962
Dr. Mark Russell Mangold
Chiropractic Sports Physician
751 S Weir Canyon Rd Ste 181
Anaheim
, California 92808-1962
(714) 974-0277
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Mark Russell Mangold
- 751 S Weir Canyon Rd Ste 181
- Anaheim, CA
- Zip : 92808-1962
- Fax : (714) 974-0277
- Phone : (714) 974-3930
Second Address
- Dr. Mark Russell Mangold
- 751 S Weir Canyon Rd Ste 181
- Anaheim, CA
- Zip : 92808-1962
- Fax : (714) 974-0277
- Phone : (714) 974-3930
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | DC21419 | CA |
National Provider Identifier
| NPI | 1134205727 |
|---|---|
| Provider Name | Dr. Mark Russell Mangold |
| First Address | Anaheim, CA 92808-1962 |
| Second Address | Anaheim, CA 92808-1962 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2006 |
| Last Update Date | 09/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.