Organization
MATTHEW J PAUTZ
Active
Other names
Orthopaedic Institute of California
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE L PAUTZ (OFFICE MANAGER)
(760) 245-2663
Entity
Organization
Contact information
Practice address
18031 US HIGHWAY 18 STE A, APPLE VALLEY, CA 92307-2152
(760) 245-2663
(760) 245-2668
Mailing address
20258 HIGHWAY 18, #430-413, APPLE VALLEY, CA 92307-6197
(760) 245-2663
(760) 245-2668
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A7163
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC9755
MEDICARE RAILROAD
CA
01
—
ZZZ13473Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
11/08/2005
Last updated
12/27/2021
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