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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RODERICK DEAN PONATH, M.D.

Active Sole Proprietor

DR. RODERICK DEAN PONATH, M.D. is a Psychiatry healthcare provider located in TUSTIN, California. NPI 1568669992 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · TUSTIN, CA

Registration Details

NPI Number
1568669992
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2007 (19.168920672065 yrs)
Last Updated
Jul 8, 2007
License
A25415 (CA)
Sole Proprietor
Yes

Practice Information

Address
17291 IRVINE BLVD
SUITE 104
TUSTIN, CA, 927802941
Browse CA providers · Browse ZIP 92780
Phone
4159902502
Fax
4154612915
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in TUSTIN, CA

Name Credential NPI
DR. MARILYN MAXINE SOSNA M.D. 1780637033
DR. ROSE MARIE ANGELLA PITT MD 1841397700
DR. AMOR S. DEL MUNDO M.D. 1376634113
DR. SUSAN M. STALZER M.D. 1629143045
JULIE J GIGLIO M.D. 1952445983
GRACE EUN KWON D.O. 1326347873
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.