Catalina Island Medical Center
LBN: Amdc
Catalina Island Medical Center is an health care organization with primary practice located at 4870 Barranca Pkwy Suite 110, Irvine CA 92604-4709. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center, Hospitals / Rural. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Amdc can be contacted via phone (949) 857-1248, or through Fraze, Michael via phone (310) 510-0700.
Contact Information
Primary practice address
4870 Barranca Pkwy Suite 110
Irvine CA 92604-4709
Phone: (949) 857-1248
Fax: (949) 559-1165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A69508 | California |
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | A69508 | California |
| Hospitals / Rural | 282NR1301X | A69508 | California |
Profile Details
| NPI number | 1568437440 |
|---|---|
| LBN Legal business name | Amdc |
| DBA Doing business as | Catalina Island Medical Center |
| Authorized official | Fraze, Michael Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568437440 | NPPES |
| California | Other | A69508 | CALIF STATE MEDICAL LIC |
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