Healthcare Provider Details

I. General information

NPI: 1225967284
Provider Name (Legal Business Name): CARDIAFLOW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22732 WATERSIDE LN
LAKE FOREST CA
92630-3060
US

IV. Provider business mailing address

4695 MACARTHUR CT STE 1100
NEWPORT BEACH CA
92660-1866
US

V. Phone/Fax

Practice location:
  • Phone: 888-390-8364
  • Fax:
Mailing address:
  • Phone: 949-637-4959
  • Fax: 949-637-4959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. CHRISTOPHER S. KANE
Title or Position: CEO
Credential: CCT
Phone: 949-637-4959