Individual
DR. JAMES B. VAN WAGENEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6024 SAN JUAN AVE., CITRUS HEIGHTS, CA 95610-5643
(916) 725-7533
(916) 725-0923
Mailing address
1861 SORRELL CIR., ROCKLIN, CA 95675
(512) 698-2602
(916) 725-0923
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6495
TX
111NN1001X
Nutrition Chiropractor
Primary
DC-30427
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C06050433
—
TX
01
—
DC-30427
CALIF. LICENSE
CA
01
—
TX6495
STATE LICENSE
TX
Enumeration date
08/02/2006
Last updated
09/11/2025
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