MEDICARE: MATTHEW O'NEIL M.D.

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	207Q00000X	Family Medicine Physician	A148204	CA

General Provider Information

NPI Number	:	1942687843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW O'NEIL M.D.

Provider Business Mailing Address
First Line	:	27107 TOURNEY RD
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91355-1860
Country	:	US
Telephone Number	:	888-778-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2261 PHILADELPHIA DRIVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-2303
Country	:	US
Telephone Number	:	937-734-4141
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2015
Last Update Date	:	12/07/2021

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