Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glen Patrick Alis, DC

Individual provider Nutrition Chiropractor · NPI 1750424446

Glen Patrick Alis, DC is a Nutrition Chiropractor in San Juan Capistrano, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

30320 Rancho Viejo Rd Ste 103
San Juan Capistrano, CA 92675-1582
Phone: (949) 218-4520
Fax: (949) 218-4172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Chiropractor (primary) Taxonomy 111NN1001X · Licence DC26006 (CA)

Record details

NPI number1750424446
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedFebruary 14, 2007
Last updated in NPPESJuly 8, 2007
Mailing address30320 Rancho Viejo Rd Ste 103, San Juan Capistrano, CA 92675-1582

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