# GARY C PONTO MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Santa Barbara Pathology Laboratory
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043630932
- **Authorized official:** GARY C PONTO (PRESIDENT)
- **Authorized official phone:** (805) 967-1539

## Contact information

- **Practice address:** 351 S PATTERSON AVE, SANTA BARBARA, CA 93111-2403
- **Practice address phone:** (805) 967-1539
- **Mailing address:** PO BOX 10076, VAN NUYS, CA 91410-0076
- **Mailing address phone:** (805) 578-8300
- **Mailing address fax:** (805) 578-3911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 05D0584992 | CA | Yes |

## Other

- **Enumeration date:** 04/18/2014
- **Last updated:** 04/18/2014