Athill, Charles A

Athill, Charles A is an individual health care provider with primary practice located at 3131 Berger Ave Suite 200, San Diego CA 92123-4233. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Athill, Charles A can be contacted via phone (858) 244-6800.

Contact Information

Primary practice address
3131 Berger Ave Suite 200 San Diego CA 92123-4233
Phone: (858) 244-6800
Fax: (858) 244-6909
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X G78671 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G78671 California

Profile Details

NPI number 1174504252
LBN Legal business name Athill, Charles A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Sep 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174504252 NPPES
California MEDICAID 00G786710

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