Individual
DR. CASEY L O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1441 EASTLAKE AVE, NOR 8302E, LOS ANGELES, CA 90089-0112
(323) 865-3105
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 865-3105
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A80627
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A806270
BLUE SHIELD
CA
01
—
00A806270197
CAL OPTIMA
CA
Enumeration date
05/07/2007
Last updated
11/27/2023
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