Organization
COORDINATED HEALTH OF CA II, LLC
Active
Other names
Cardiac CIN of San Diego LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LELAND HUTTON EADIE (DIRECTOR)
(615) 733-2064
Entity
Organization
Contact information
Practice address
4275 EXECUTIVE SQ STE 200C, LA JOLLA, CA 92037-1476
(615) 386-0064
(615) 386-0067
Mailing address
102 WOODMONT BLVD STE 350, NASHVILLE, TN 37205-2216
(615) 386-0064
(615) 386-0067
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
CA
207RI0011X
Interventional Cardiology Physician
—
CA
Other
Enumeration date
01/13/2018
Last updated
02/13/2020
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