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NPI Code Detail

MEDICARE: MR. MATTHEW S. WALZER DPT

MEDICARE: MR. MATTHEW S. WALZER DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist
22251X0800XOrthopedic Physical TherapistPT21849CA

General Provider Information

NPI Number : 1164472585
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MATTHEW S. WALZER DPT
Provider Business Mailing Address
First Line : 9850 GENESEE AVE
Second Line : SUITE 210
City : LAJOLLA
State : CA
Zip : 92037
Country : US
Telephone Number : 858-535-1075
Fax Number : 858-453-9810
Provider Business Practice Location Address
First Line : 31271 NIGUEL RD STE J
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92677-4135
Country : US
Telephone Number : 949-443-5442
Fax Number : 949-443-5463
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 04/14/2026

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