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

San Clemente Vitality Center Inc

Organization Chiropractor · NPI 1134773971

San Clemente Vitality Center Inc provides Chiropractor services in San Clemente, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

647 Camino De Los Mares Ste 218
San Clemente, CA 92673-2807
Phone: (949) 441-7755
Fax: (949) 598-9990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1134773971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Burton Wagner — Owner/Provider · (949) 441-7755
NPI enumeratedJuly 30, 2019
Last updated in NPPESJuly 30, 2019
Mailing address15520 Rockfield Blvd, A200, Irvine, CA 92618-6705

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