Ponath, Roderick Dean
Ponath, Roderick Dean is an sole proprietor health care provider with primary practice located at 17291 Irvine Blvd Suite 104, Tustin CA 92780-2941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ponath, Roderick Dean can be contacted via phone (415) 990-2502.Contact Information
Primary practice address
17291 Irvine Blvd Suite 104
Tustin CA 92780-2941
Phone: (415) 990-2502
Fax: (415) 461-2915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A25415 | California |
Profile Details
| NPI number | 1568669992 |
|---|---|
| LBN Legal business name | Ponath, Roderick Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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