Individual
DR. MARK RUSSELL MANGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., QME
Contact information
Practice address
751 S WEIR CANYON RD STE 181, ANAHEIM, CA 92808-1962
(714) 974-3930
(714) 974-0277
Mailing address
751 S WEIR CANYON RD STE 181, ANAHEIM, CA 92808-1962
(714) 974-3930
(714) 974-0277
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC21419
CA
Other
Enumeration date
10/27/2006
Last updated
01/15/2026
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