Provider Demographics
NPI:1801195912
Name:SIMMONDS, JOHN ONEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ONEIL
Last Name:SIMMONDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11901 SANTA MONICA BLVD STE 620
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-5189
Mailing Address - Country:US
Mailing Address - Phone:310-614-2663
Mailing Address - Fax:
Practice Address - Street 1:11901 SANTA MONICA BLVD STE 620
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5189
Practice Address - Country:US
Practice Address - Phone:310-614-2663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA100364207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery