Individual
DR. KELLY JAMES O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40971 WINCHESTER RD, TEMECULA, CA 92591-6031
(951) 296-1690
(951) 296-1697
Mailing address
40971 WINCHESTER RD, TEMECULA, CA 92591-6031
(951) 296-1690
(951) 296-1697
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A36888
CA
Other
Enumeration date
12/27/2012
Last updated
08/12/2021
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