| NPI | 1053562892 |
|---|---|
| Doing Business As | EXCELA JAMES N. MASTERSON, D.O. |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-625-2990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA os007039e) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2015-07-30 |