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Individual

DAVID JONATHAN GUTGLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-8036
Mailing address
3860 CALLE FORTUNADA, SUITE 210, SAN DIEGO, CA 92123-4800
(858) 309-6303
(858) 309-6301

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G77971
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
G77971
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G779710
CA
Enumeration date
11/13/2006
Last updated
09/11/2025
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