Healthcare Provider Details

I. General information

NPI: 1770019028
Provider Name (Legal Business Name): ONDREIA JANELLE HUNT M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2017
Last Update Date: 01/05/2025
Certification Date: 01/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 555657
CAMP PENDLETON CA
92055-5657
US

IV. Provider business mailing address

1370 CALLE SANDCLIFF UNIT 55
SAN DIEGO CA
92154-6322
US

V. Phone/Fax

Practice location:
  • Phone: 760-725-3021
  • Fax:
Mailing address:
  • Phone: 321-243-2864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101266060
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: