Individual
ROGER J ACHEATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1955 CITRACADO PKWY STE 300, ESCONDIDO, CA 92029-4113
(760) 743-0546
(760) 743-8837
Mailing address
PO BOX 28199, SAN DIEGO, CA 92198-0199
(858) 673-2574
(858) 618-1523
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G45947
CA
207RI0011X
Interventional Cardiology Physician
Primary
G45947
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730182619
—
CA
01
—
P01123944
MEDICARE RAILROAD
CA
Enumeration date
05/24/2005
Last updated
02/19/2021
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