Individual
JOSEPH H DONNELLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8068
(714) 456-3765
Mailing address
PO BOX 54559, LOS ANGELES, CA 90054-0559
(714) 445-6806
(714) 456-3765
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G86398
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
G86398
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G863980
MEDI-CAL PROVIDER #
CA
01
—
ZZZ54113Z
BLUE SHIELD RPOVIDER #
CA
Enumeration date
06/15/2006
Last updated
09/11/2025
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