Revilla Chiropractic a Professional Corporation

NPI #1164572566 in San Marcos, California

Provider Information

NPI Number: 1164572566
Entity Type: Organization
Organization Name: Revilla Chiropractic a Professional Corporation
Primary Specialty: Chiropractor
Enumeration Date: Jan 10, 2007
Last Updated: Jun 10, 2020

Practice Location

Address: 555 S RANCHO SANTA FE RD
Address 2: SUITE 200
City: San Marcos
State: California
ZIP Code: 92078-3698
Phone: (760) 736-0286

Authorized Official

Name: DR. RUSSELL STEVEN REVILLA, D.C.
Title: PRESIDENT
Phone: (760) 736-0286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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