Individual
JESSE O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ELECTROLOGIST
Contact information
Practice address
10123 HAWTHORNE BLVD, INGLEWOOD, CA 90304-1513
(361) 232-0499
Mailing address
4844 MCCONNELL AVE, LOS ANGELES, CA 90066-6712
(361) 232-0499
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
L9893
CA
Other
Enumeration date
07/04/2025
Last updated
07/04/2025
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