Organization
COORDINATED HEALTH OF CA III, LLC
Active
Other names
Cardiac CIN of Orange County LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LELAND HUTTON EADIE (DIRECTOR)
(615) 733-2064
Entity
Organization
Contact information
Practice address
2372C MORSE AVE, IRVINE, CA 92614-6234
(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
207X00000X
Orthopaedic Surgery Physician
Primary
—
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
CA
Other
Enumeration date
01/19/2018
Last updated
01/24/2020
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