Dr Glenn Paul Matney, MD - Pediatrics in Victorville, CA

Dr Glenn Paul Matney, MD is a Pediatrics physician based in Victorville, California. Dr Glenn Paul Matney is licensed to practice in California (license number G069064) and his current practice location is 12402 Industrial Blvd Ste B1, Victorville, California. He can be reached at his office (for appointments etc.) via phone at (760) 245-9363.

NPI number for Dr Glenn Paul Matney is 1902822059 and his current mailing address is 12402 Industrial Blvd Ste B1, Victorville, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902822059.

Contact Information

Dr Glenn Paul Matney, MD
12402 Industrial Blvd Ste B1,
Victorville, CA 92395-5889
(760) 245-9363
Not Available

Map and Direction




Physician's Profile

Full NameDr Glenn Paul Matney
GenderMale
SpecialityPediatrics
Location12402 Industrial Blvd Ste B1, Victorville, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902822059
  • Provider Enumeration Date: 07/14/2006
  • Last Update Date: 08/10/2019

Medical Identifiers

Medical identifiers for Dr Glenn Paul Matney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902822059NPI-NPPES
00G690641 8757126MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0401XFamily Medicine - Addiction Medicine G069064 (California)Secondary
2083A0300XPreventive Medicine - Addiction Medicine G069064 (California)Secondary
2084A0401XPsychiatry & Neurology - Addiction Medicine G069064 (California)Secondary
2084P0802XPsychiatry & Neurology - Addiction Psychiatry G69064 (California)Secondary
208000000XPediatrics G069064 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Glenn Paul Matney is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Glenn Paul Matney, MD
12402 Industrial Blvd Ste B1,
Victorville, CA 92395-5889

Ph: (760) 245-9363
Dr Glenn Paul Matney, MD
12402 Industrial Blvd Ste B1,
Victorville, CA 92395-5889

Ph: (760) 245-9363

Reviews and Comments


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