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Dr. Russell S Revilla, DC
Chiropractor in San Marcos, California
NPI 1407877517

Russell S Revilla is a Chiropractor based in San Marcos, CA. Russell S Revilla practices in San Marcos, CA and has the professional credentials of DC. The NPI Number for Russell S Revilla is 1407877517 and holds a License No. DC20363 (California).

The current practice location address for Russell S Revilla is 555 S Rancho Santa Fe Rd, San Marcos, CA and can be reached out via phone at 760-736-0286 and via fax at 760-736-3113.

Location: 555 S Rancho Santa Fe Rd, San Marcos, CA, 92078-3698
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407877517
Provider Name
Russell S Revilla
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
555 S Rancho Santa Fe Rd, San Marcos, CA, 92078-3698
Phone Number
760-736-0286
Fax Number
760-736-3113
Provider Enumeration Date
07/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
555 S Rancho Santa Fe Rd
City
San Marcos
State
California
Zip
92078-3698
Phone Number
760-736-0286
Fax Number
760-736-3113
person
Provider Business Mailing Address Details
Address
555 S Rancho Santa Fe Rd
City
San Marcos
State
California
Zip
92078-3698
Phone Number
760-736-0286
Fax Number
760-736-3113
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC20363 (California)
Definition
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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