SHAWN RICHARD ONEILL


Address: 5979 Trotters Ln, Alta Loma, CA 91701-2644
Phone: 9093197920

SHAWN RICHARD ONEILL (NPI# 1205447687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205447687
Entity Type Individual
Full Name SHAWN RICHARD ONEILL
Practice Address 5979 Trotters Ln
Alta Loma
CA 91701-2644
Practice Telephone 9093197920
Mailing Telephone 9093197920
Enumeration Date 2020-08-11
Last Update Date 2020-08-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 5979 TROTTERS LN
City ALTA LOMA
State CA
Zip Code 91701-2644

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City ALTA LOMA
Zip Code 91701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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