Individual
DR. MATTHEW VANCE DILTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39000 BOB HOPE DR, HARRY & DIANE RINKER BUILDING, RANCHO MIRAGE, CA 92270-3221
(760) 568-2684
(760) 341-5832
Mailing address
PO BOX 1730, RANCHO MIRAGE, CA 92270-1058
(760) 568-2684
(603) 415-8327
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A83315
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A88315
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A88315
CA MEDICAL LICENSE
CA
Enumeration date
06/25/2007
Last updated
04/05/2023
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