Organization · Type 2 NPI

Revilla Chiropractic A Professional Corporation

Chiropractor · San Marcos, CA

NPI number 1164572566 Active

Practice location

555 S Rancho Santa Fe Rd, Suite 200
San Marcos, CA 92078-3698

Fax (760) 736-3113

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	DC 20363 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

5 other providers at this address

Other chiropractor providers in San Marcos

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NPI record

NPI: 1164572566
Entity type: Organization (Type 2)
Issued: Jan 10, 2007
Last updated: Jun 10, 2020
Status: Active

Other names

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Comprehensive Health and Chiropractic · doing business as
Comprehensive Health and Chiropractic · doing business as

Authorized official

Dr. Russell Steven Revilla, DC
President
(760) 736-0286

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164572566

Revilla Chiropractic A Professional Corporation's National Provider Identifier is 1164572566, issued on Jan 10, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Marcos, CA. The record was last updated on Jun 10, 2020.