# STELLAR FAMILY AND OCCUPATIONAL MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427543248
- **Authorized official:** MATTHEW PAUTZ DO DO (OWNER)
- **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) 946-9990
- **Practice address fax:** (760) 946-9991
- **Mailing address:** 18031 US HIGHWAY 18 STE A, APPLE VALLEY, CA 92307-2152
- **Mailing address phone:** (609) 469-9907
- **Mailing address fax:** (760) 946-9991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NX0100X | Occupational Health Chiropractor | 21592 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | 20A7163 | CA | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/25/2018
- **Last updated:** 06/25/2018