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REVILLA CHIROPRACTIC A PROFESSIONAL CORPORATION NPI 1164572566


NPI Information

NPI: 1164572566
Provider Name: REVILLA CHIROPRACTIC A PROFESSIONAL CORPORATION

Doing Business As: COMPREHENSIVE HEALTH AND CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
555 S RANCHO SANTA FE RD
SUITE 200
SAN MARCOS, CA
ZIP 92078
Phone: (760) 736-0286
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REVILLA CHIROPRACTIC A PROFESSIONAL CORPORATION is a chiropractor in San Marcos, CA. The provider is 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. REVILLA CHIROPRACTIC A PROFESSIONAL CORPORATION NPI is 1164572566. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Comprehensive Health And Chiropractic.

The provider's business location address is:

555 S RANCHO SANTA FE RD
SUITE 200
SAN MARCOS, CA
ZIP 92078-698
Phone: (760) 736-0286
Fax: (760) 736-3113

The provider's authorized official is Russell Steven Revilla .
The authorized official title is President and has the following contact phone number (760) 736-0286.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 6/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC 20363CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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