San Clemente Vitality Center Inc.

LBN: San Clemente Vitality Center Inc.
San Clemente Vitality Center Inc. is an health care organization with primary practice located at 647 Camino De Los Mares Ste 218, San Clemente CA 92673-2807. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. San Clemente Vitality Center Inc. can be contacted via phone (949) 441-7755, or through Wagner, Burton via phone (949) 441-7755.

Contact Information

Primary practice address
647 Camino De Los Mares Ste 218 San Clemente CA 92673-2807
Fax: (949) 598-9990
Website:
Authorized official contact:
Name: Wagner, Burton Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1134773971
LBN Legal business name San Clemente Vitality Center Inc.
DBA Doing business as
Authorized official Wagner, Burton Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2019
Last updated Jul 30th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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