Provider Demographics
NPI:1598841553
Name:O'NEILL, CLAIRE H (DC)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:H
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3171 LOS FELIZ BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-1536
Mailing Address - Country:US
Mailing Address - Phone:323-662-2891
Mailing Address - Fax:323-662-2990
Practice Address - Street 1:3171 LOS FELIZ BLVD STE 202
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-1536
Practice Address - Country:US
Practice Address - Phone:323-662-2891
Practice Address - Fax:323-662-2990
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23936111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU60098Medicare UPIN
CADC23936Medicare ID - Type UnspecifiedPROVIDER ID