Mangold, Mark Russell

Mangold, Mark Russell is an individual health care provider with primary practice located at 751 S Weir Canyon Rd Ste 181 , Anaheim CA 92808-1962. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Mangold, Mark Russell can be contacted via phone (714) 974-3930.

Contact Information

Primary practice address
751 S Weir Canyon Rd Ste 181 Anaheim CA 92808-1962
Phone: (714) 974-3930
Fax: (714) 974-0277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X DC21419 California

Profile Details

NPI number 1134205727
LBN Legal business name Mangold, Mark Russell
Credentials D.C., QME
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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