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AMDC NPI 1568437440


NPI Information

NPI: 1568437440
Provider Name: AMDC

Doing Business As: CATALINA ISLAND MEDICAL CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 05D0710102

Address:
4870 BARRANCA PKWY
SUITE 110
IRVINE, CA
ZIP 92604
Phone: (949) 857-1248
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AMDC is a clinic center in Irvine, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). AMDC NPI is 1568437440. The provider is registered as an organization entity type.
The provider Is Doing Business As Catalina Island Medical Center.

The provider's business location address is:

4870 BARRANCA PKWY
SUITE 110
IRVINE, CA
ZIP 92604-709
Phone: (949) 857-1248
Fax: (949) 559-1165

The provider's authorized official is Michael Fraze .
The authorized official title is Physician and has the following contact phone number (310) 510-0700.

The CLIA number assigned to this NPI record is 05D0710102 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 3/7/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterA69508CALIFORNIAYes
2282NR1301XGeneral Acute Care HospitalRuralA69508CALIFORNIAX
3207Q00000XFamily MedicineA69508CALIFORNIAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A69508OTHERCALIFORNIACALIF STATE MEDICAL LIC

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

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