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THOMAS DALE PONTIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
456 ELM AVE, LONG BEACH, CA 90802-2426
(562) 437-6717
Mailing address
3021 SOFTWIND WAY, TORRANCE, CA 90505-7129
(310) 326-7726

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
528060
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
528060
CA

Other

Enumeration date
03/27/2007
Last updated
09/11/2025
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