COORDINATED HEALTH OF CA IV LLC NPI 1659889525

NPI Information

NPI: 1659889525
Provider Name: COORDINATED HEALTH OF CA IV, LLC

Former Legal Business Name: CARDIAC CIN OF CENTRAL VALLEY, LLC

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1380 LEAD HILL BLVD STE 106C
ROSEVILLE, CA
ZIP 95661
Phone: (615) 386-0064
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COORDINATED HEALTH OF CA IV, LLC is a cardiovascular disease internal medicine in Roseville, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. COORDINATED HEALTH OF CA IV, LLC NPI is 1659889525. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Cardiac Cin Of Central Valley, Llc.

The provider's business location address is:

1380 LEAD HILL BLVD STE 106C
ROSEVILLE, CA
ZIP 95661-997
Phone: (615) 386-0064
Fax: (615) 386-0067

The provider's authorized official is Edward Leland Hutton Eadie .
The authorized official title is Director and has the following contact phone number (615) 733-2064.

The enumeration date for this NPI number is 1/13/2018 and was last updated on 1/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease		CALIFORNIA	Yes
2	207RI0011X	Internal Medicine	Interventional Cardiology		CALIFORNIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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