DR. MARYELLEN O'REILLY


Address: 60 Discovery, Irvine, CA 92618-3105
Phone: 9495869904

DR. MARYELLEN O'REILLY (NPI# 1780851808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780851808
Entity Type Individual
Full Name DR. MARYELLEN O'REILLY
Other Name DR. MARYELLEN DEBONIS
Credential M.D.
Practice Address 60 Discovery
Irvine
CA 92618-3105
Practice Telephone 9495869904
Practice Fax Number 9495867816
Mailing Telephone 9495869904
Mailing Fax Number 9495867816
Enumeration Date 2008-05-08
Last Update Date 2008-05-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice G63194 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 60 DISCOVERY
City IRVINE
State CA
Zip Code 92618-3105

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City IRVINE
Zip Code 92618

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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