Burton Leland Wagner (NPI# 1245659507, PAC ID# 6901128164) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1245659507 |
| PAC ID by PECOS | 6901128164 |
| Professional Enrollment ID | I20141209000734 |
| Full Name | Burton Leland Wagner |
| Address |
647 Camino De Los Mares Suite 220 San Clemente CA 92673-2807 |
| Phone Number | 9496165470 |
| Gender | M |
| Medical School | LIFE CHIROPRACTIC COLLEGE - WEST |
| Graduation Year | 2001 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 647 Camino De Los Mares, Suite 220, San Clemente, CA 92673-2807 | 9496165470 |
| Street Address |
647 CAMINO DE LOS MARES SUITE 220 |
| City | SAN CLEMENTE |
| State | CA |
| Zip | 92673-2807 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly K Finley | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| David W Reenders | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Megan E Parent | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Pamela N Skorstad | Psychologist, Clinical | 647 Camino De Los Mares, Suite 226, San Clemente, CA 92673-2860 | |
| Sonia D Armbruster | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Maren T George | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William L Van Der Reis | Orthopedic Surgery | 653 Camino De Las Mares, Suite 109, Sam Clemente, CA 92673 | |
| Sandra K Wong | Physical Therapy | 660 Camino De Los Mares, San Clemente, CA 92673-1800 | |
| Jeffrey Felgner | Family Practice | Advanced Medical Home Physicians Inc | 660 Camino De Los Mares, San Clemente, CA 92673-1800 |
| Bella Darji | Nurse Practitioner | Advanced Medical Home Physicians Inc | 660 Camino De Los Mares, San Clemente, CA 92673-1800 |
| Daniel A Souza | Physical Therapy | Scor Physical Therapy Inc | 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 |
| Rebecca L Ng | Optometry | Ramin Tayani Md Inc | 653 Camino De Los Mares, Suite 107, San Clemente, CA 92673-2808 |
| Tyler Charles Seppanen | Physical Therapy | Scor Physical Therapy Inc | 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 |
| Kathleen H Fiorenza | Occupational Therapy | Scor Physical Therapy Inc | 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 |
| Ramin Tayani | Ophthalmology | Ramin Tayani Md Inc | 653 Camino De Los Mares, Suite 107, San Clemente, CA 92673-2808 |
| Phuonganh Q Tran | Optometry | Ramin Tayani Md Inc | 653 Camino De Los Mares, Suite 107, San Clemente, CA 92673-2808 |
| Find all physicians in zip 92673 | |||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
| Specialty | CHIROPRACTIC |
| City + Specialty | SAN CLEMENTE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Burton Leland Wagner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.