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General NPI Number Information
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NPI Number | 1508009531
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Entity Type | Individual
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Provider Name | SARAH JANE O'NEIL LMT
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Gender | Female
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Dates
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Enumeration Date | 04/07/2009
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Last Update Date | 04/07/2009
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Provider Practice Location Address
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Address Line | 228 S CEDROS AVE
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City | SOLANA BEACH
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State | CA
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Zip | 92075-1950
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Country | US
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Telephone | 858-735-5152
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2789
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City | DEL MAR
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State | CA
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Zip | 92014-5789
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Country | US
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Telephone | 858-735-5152
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | NO NUMBER
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License Number State | CA
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