Provider Demographics
NPI:1740251602
Name:O'NEILL, SHEA ANN (MD)
Entity type:Individual
Prefix:MS
First Name:SHEA
Middle Name:ANN
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5640 WAVERLY AVE
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-7547
Mailing Address - Country:US
Mailing Address - Phone:858-459-3693
Mailing Address - Fax:
Practice Address - Street 1:34730 BOB WILSON DR.
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-3100
Practice Address - Country:US
Practice Address - Phone:619-532-7013
Practice Address - Fax:619-532-6587
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2024-01-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG84059207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology