Healthcare Provider Details

I. General information

NPI: 1962613000
Provider Name (Legal Business Name): ROSALINDA O'NEILL MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 S LASKY DR SUITE 200
BEVERLY HILLS CA
90212
US

IV. Provider business mailing address

132 S LASKY DR STE 200
BEVERLY HILLS CA
90212-1706
US

V. Phone/Fax

Practice location:
  • Phone: 310-277-1908
  • Fax:
Mailing address:
  • Phone: 310-277-1908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number21733
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: