Search › California › 101YM0800X
Jerry Dattilo, BA
NPI 1669997854 · on the registry since 2017
Practice
- Address
- 2600 S El Camino Real Ste 200
San Mateo, CA 94403 - Phone
- (650) 513-6122
- Fax
- (650) 513-6122
- Organisation at this address
- Peninsula Health Care District
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 124
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California