Individual
MATTHEW SEUNG WIETZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
350 DICKINSON ST STE 3-325, SAN DIEGO, CA 92103-1913
(619) 543-5221
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
852053
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95026396
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2022
Last updated
01/07/2026
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