OrganizationActive
Orthopaedic Regenerative Medicine, LLC
NPI 1164043204 · Sports Medicine (Orthopaedic Surgery) Physician · Tempe, AZ
Provider details
- NPI number
- 1164043204
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Angelo Mattalino, Owner
Mailing address
4400 N Scottsdale Rd # 9-844
Scottsdale, AZ 85251-3331
Registry dates
- Enumerated
- 2020-04-29
- Last updated
- 2020-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.