Individual provider · Type 1 NPI

Russell S. Revilla, DC

Chiropractor · San Marcos, CA

NPI number 1407877517 Active

Practice location

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

Call (760) 736-0286 Map

Fax (760) 736-3113

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC20363 (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

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About NPI 1407877517

Russell S. Revilla, DC's National Provider Identifier is 1407877517, issued on Jul 22, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Marcos, CA. The record was last updated on Jul 8, 2007.