# 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:** 1902226046
- **Authorized official:** GARY C PONTO M.D. (PRESIDENT)
- **Authorized official phone:** (805) 967-1539

## Contact information

- **Practice address:** 5652 CALLE REAL, GOLETA, CA 93117-2317
- **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 | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/16/2014
- **Last updated:** 06/03/2014