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 is a Chiropractor 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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