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DR. STACEY B GILLIS D.C. NPI 1497780225


NPI Information

NPI: 1497780225
Provider Name: DR. STACEY B GILLIS, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2200 HARBOR BLVD STE B160
COSTA MESA, CA
ZIP 92627
Phone: (949) 515-5170
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DR. Stacey B Gillis, D.C. is a chiropractor in Costa Mesa, CA with 23 years of experience. 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. DR. Stacey B Gillis, D.C. NPI is 1497780225. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE - WEST
Graduation Year:2001

The provider's business location address is:

2200 HARBOR BLVD STE B160
COSTA MESA, CA
ZIP 92627-871
Phone: (949) 515-5170
Fax: (949) 515-5173

The enumeration date for this NPI number is 7/11/2006 and was last updated on 8/11/2008.


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
1111N00000XChiropractorDC28079CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.