# COORDINATED HEALTH OF CA III, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cardiac CIN of Orange County LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578071924
- **Authorized official:** EDWARD LELAND HUTTON EADIE (DIRECTOR)
- **Authorized official phone:** (615) 733-2064

## Contact information

- **Practice address:** 2372C MORSE AVE, IRVINE, CA 92614-6234
- **Practice address phone:** (615) 386-0064
- **Practice address fax:** (615) 386-0067
- **Mailing address:** 102 WOODMONT BLVD STE 350, NASHVILLE, TN 37205-2216
- **Mailing address phone:** (615) 386-0064
- **Mailing address fax:** (615) 386-0067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | CA | Yes |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | CA | — |

## Other

- **Enumeration date:** 01/19/2018
- **Last updated:** 01/24/2020