Revilla, Russell S

Revilla, Russell S is an individual health care provider with primary practice located at 555 S Rancho Santa Fe Rd Suite 200, San Marcos CA 92078-3698. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Revilla, Russell S can be contacted via phone (760) 736-0286.

Contact Information

Primary practice address
555 S Rancho Santa Fe Rd Suite 200 San Marcos CA 92078-3698
Phone: (760) 736-0286
Fax: (760) 736-3113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC20363 California

Profile Details

NPI number 1407877517
LBN Legal business name Revilla, Russell S
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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