# MATTHEW J PAUTZ

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orthopaedic Institute of California
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336120278
- **Authorized official:** MRS. ALICE L PAUTZ (OFFICE MANAGER)
- **Authorized official phone:** (760) 245-2663

## Contact information

- **Practice address:** 18031 US HIGHWAY 18 STE A, APPLE VALLEY, CA 92307-2152
- **Practice address phone:** (760) 245-2663
- **Practice address fax:** (760) 245-2668
- **Mailing address:** 20258 HIGHWAY 18, \#430-413, APPLE VALLEY, CA 92307-6197
- **Mailing address phone:** (760) 245-2663
- **Mailing address fax:** (760) 245-2668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 20A7163 | CA | Yes |

## Other

- **Enumeration date:** 11/08/2005
- **Last updated:** 12/27/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DC9755 | MEDICARE RAILROAD | CA |
| 01 | — | ZZZ13473Z | BLUE SHIELD OF CALIFORNIA | CA |