Healthcare Provider Details

I. General information

NPI: 1477533461
Provider Name (Legal Business Name): DANIEL PAUL ONEILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 06/08/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 VALENCIA ST STE 802
SAN FRANCISCO CA
94110-4415
US

IV. Provider business mailing address

325 DISTEL CIR
LOS ALTOS CA
94022-1408
US

V. Phone/Fax

Practice location:
  • Phone: 415-537-8600
  • Fax: 415-369-1371
Mailing address:
  • Phone: 415-537-8600
  • Fax: 415-369-1371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA65286
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: