| Doctor Name: | DR. RYAN PATRICK PONTON |
| NPI Number: | 1043470685 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 25289 |
| Business Practice Address: | 34800 Bob Wilson Dr San Diego, CA - 921341098 |
| Business Phone Number: | 6197445332 |
| Business Fax Number: | |
| Mailing Address: | 527 10th Ave, #201 SAN DIEGO |
| State: | CA |
| Postal Code: | 921017266 |
| Phone Number: | 7575729763 |
| Fax Number: | |
| NPI Enumeration Date: | 06/16/2008 |
| NPI Last Update Date: | 02/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25289 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |