Provider Demographics
NPI:1568751980
Name:CARDIAC HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:CARDIAC HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:STANMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-598-5958
Mailing Address - Street 1:PO BOX 5776
Mailing Address - Street 2:
Mailing Address - City:STATELINE
Mailing Address - State:NV
Mailing Address - Zip Code:89449-5776
Mailing Address - Country:US
Mailing Address - Phone:888-598-5958
Mailing Address - Fax:949-389-0199
Practice Address - Street 1:26800 ALISO VIEJO PKWY
Practice Address - Street 2:SUITE 125
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-2625
Practice Address - Country:US
Practice Address - Phone:888-598-5958
Practice Address - Fax:949-389-0199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, CardiologyGroup - Multi-Specialty