Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW EDWARD BOLERJACK
ActiveMATTHEW EDWARD BOLERJACK is a Sports Medicine (PM&R) healthcare provider located in SAN DIEGO, California. NPI 1740923937 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · SAN DIEGO, CA
Registration Details
- NPI Number
- 1740923937
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 15, 2022 (4.2897579850912 yrs)
- Last Updated
- Apr 15, 2022
- License
-
104470 (CA)
Practice Information
- Address
-
7130 MIRAMAR RD STE 400SAN DIEGO, CA, 921212340Browse CA providers · Browse ZIP 92121
- Phone
- 6196093171
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Other Sports Medicine (PM&R) Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| GERALDINE KUO | MD | 1336256650 |
| JULIE LYNN INGWERSON | MD | 1073772844 |
| DR. ENOCH H CHANG | M.D. | 1205128196 |
| MARY FOSTER | — | 1639712433 |
| AMBER RENEE DEBARGE | YA ID 146968 | 1255969143 |
| MATTHEW FRIEDMAN | PT, DPT | 1992311690 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.