Individual provider · Type 1 NPI

Stacey B. Gillis, DC

Chiropractor · Costa Mesa, CA

NPI number 1497780225 Active

Practice location

2200 Harbor Blvd Ste B160
Costa Mesa, CA 92627-5871

Call (949) 515-5170 Map

Fax (949) 515-5173

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC28079 (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.

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About NPI 1497780225

Stacey B. Gillis, DC's National Provider Identifier is 1497780225, issued on Jul 11, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Aug 11, 2008.