Healthcare Provider Details

I. General information

NPI: 1386548683
Provider Name (Legal Business Name): MATTHEW WEBER DO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 RANCHEROS DR STE 101
SAN MARCOS CA
92069-2976
US

IV. Provider business mailing address

277 RANCHEROS DR STE 101
SAN MARCOS CA
92069-2976
US

V. Phone/Fax

Practice location:
  • Phone: 760-750-1902
  • Fax: 760-750-1906
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. MATTHEW GERALD WEBER
Title or Position: ORTHOPEDIC SURGEON
Credential: DO
Phone: 708-997-1990