Healthcare Provider Details

I. General information

NPI: 1568751980
Provider Name (Legal Business Name): CARDIAC HEALTH SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2011
Last Update Date: 05/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26800 ALISO VIEJO PKWY SUITE 125
ALISO VIEJO CA
92656-2625
US

IV. Provider business mailing address

PO BOX 5776
STATELINE NV
89449-5776
US

V. Phone/Fax

Practice location:
  • Phone: 888-598-5958
  • Fax: 949-389-0199
Mailing address:
  • Phone: 888-598-5958
  • Fax: 949-389-0199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246W00000X
TaxonomyCardiology Technician
License Number
License Number State

VIII. Authorized Official

Name: ADRIENNE STANMAN
Title or Position: MEMBER
Credential:
Phone: 888-598-5958