Organization · NPI-2

Amdc

Family Medicine · Irvine, CA

NPI number1568437440
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1568437440
Entity type
Organization (NPI-2)
Legal business name
Amdc
Organization subpart
No
Enumeration date
Feb 22, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA69508CAYes
261Q00000X Clinic/CenterA69508CA
282NR1301X General Acute Care Hospital, RuralA69508CA

Other names

  • Catalina Island Medical Center (Doing Business As)

Practice location

4870 Barranca Pkwy
Suite 110
Irvine, CA 92604-4709

Phone 949-857-1248 · Fax 949-559-1165

Mailing address

Po Box 3699
Newport Beach, CA 92659-8699

Phone 949-857-1248 · Fax 949-559-1165

Authorized official

Michael Fraze
Physician
3105100700

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