MEDICARE: ONEIL ENTERPRISES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1184186629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONEIL ENTERPRISES INC

Provider Business Mailing Address
First Line	:	5424 WOODRUFF AVE
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90713-1533
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5424 WOODRUFF AVE
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90713-1533
Country	:	US
Telephone Number	:	815-713-2600
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TERENCE O'NEIL
Credential	:	MD
Telephone Number	:	562-519-0540

Provider Enumeration Date	:	04/03/2019
Last Update Date	:	04/04/2022

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Directions to “ONEIL ENTERPRISES INC ” Practice Location

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