Individual
COLLEEN O'NEIL-TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40595 WESTLAKE DR, OAKHURST, CA 93644-9024
(559) 658-8388
Mailing address
757 WESTWOOD PLAZA, FAMILY MEDICINE, LOS ANGELES, CA 90095
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A179168
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
09/19/2022
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