# O'NEAL ELITE ELECTEOLYSIS AND SKIN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679498265
- **Authorized official:** JESSE O'NEAL (OWNER)
- **Authorized official phone:** (747) 322-1965

## Contact information

- **Practice address:** 10123 HAWTHORNE BLVD, ENGLEWOOD, CA 90304
- **Practice address phone:** (747) 322-1965
- **Mailing address:** 578 WASHINGTON BLVD \# 842, MARINA DEL REY, CA 90292-5421
- **Mailing address phone:** (747) 322-1965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Z00000X | Other Specialist/Technologist | — | NULL | Yes |
| 246Z00000X | Other Specialist/Technologist | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2026
- **Last updated:** 08/12/2026