Individual
DR. GARY C PONTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5652 CALLE REAL, GOLETA, CA 93117-2317
(805) 967-1539
(805) 964-8489
Mailing address
5652 CALLE REAL, GOLETA, CA 93117-2317
(805) 967-1539
(805) 964-8489
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G37701
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
G37701
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G377010
—
CA
05
—
GR0058760
—
CA
Enumeration date
06/27/2006
Last updated
03/07/2014
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