Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANIEL R PONTICIELLO, MD
ActiveDANIEL R PONTICIELLO, MD is a Critical Care Medicine healthcare provider located in MISSION VIEJO, California. NPI 1417185273 is currently active in the NPPES registry. Verify at CMS.
Critical Care Medicine · MISSION VIEJO, CA
Registration Details
- NPI Number
- 1417185273
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2009 (17.152724037859 yrs)
- Last Updated
- Oct 28, 2020
- Licenses
-
253745 (NY)A120221 (CA)
Practice Information
- Address
-
26800 CROWN VALLEY PKWY STE 205MISSION VIEJO, CA, 926916384Browse CA providers · Browse ZIP 92691
- Phone
- 9493643330
- Fax
- 9493642886
- Primary Specialty
-
Critical Care Medicine
207RC0200X
- Additional Specialty
- Critical Care Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.