Individual
CHARLES A ATHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3131 BERGER AVE, SUITE 200, SAN DIEGO, CA 92123-4233
(858) 244-6800
(858) 244-6909
Mailing address
3131 BERGER AVE, SUITE 200, SAN DIEGO, CA 92123-4233
(858) 244-6800
(858) 244-6909
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G78671
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
G78671
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G786710
—
CA
Enumeration date
11/07/2005
Last updated
09/01/2011
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