Individual
DENNIS PONZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18300 YORBA LINDA BLVD, SUITE 201, YORBA LINDA, CA 92886-4052
(714) 577-6000
(714) 572-9538
Mailing address
18200 YORBA LINDA BLVD, SUITE 401, YORBA LINDA, CA 92886-4056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G689220
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G689220
—
CA
Enumeration date
06/12/2006
Last updated
04/20/2012
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