Organization Name:  JEFFREY J. GUTTAS. MD, INC.


Practice Location:
100 S SAN MATEO DR STE 400 SAN MATEO, CA 94401 US
Tel: 650-696-4101  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	CA	G612560

Other Provider Identifiers:

Issuer	Number	State	Type
	00G612561	CA	05
AETNA	0718408	CA	01
	00G612560	CA	05
AETNA	0716704	CA	01
AETNA	0732307	CA	01
BS	ZZZ52816Z		01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin