Amdc is a Clinic/center in Newport Beach, California. Amdc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Amdc is 1568437440. The last update date is 2023-03-07.
Amdc's current location address is Po Box 3699, Newport Beach, California. You can contact this provider via phone number 9498571248 and fax number 9495591165. The mailing address for Amdc is Po Box 3699, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Amdc |
|---|---|
| Address | Po Box 3699, Newport Beach, California |
| Phone Number | 9498571248 |
| Fax Number | 9495591165 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Fraze Michael |
| Credentials | M.D. |
| Telephone Number | 3105100700 |
NPI Number Detail
| NPI Number | 1568437440 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | Po Box 3699 |
|---|---|
| City | Newport Beach |
| State | California (CA) |
| Post Code | 926598699 |
| Phone Number | 9498571248 |
| Fax Number | 9495591165 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | A69508 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A69508 | CA | CALIF STATE MEDICAL LIC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Amdc?
The Amdc has been issued the NPI (National Provider Identifier) 1568437440 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Amdc is physically located?
The Amdc is situated at the following address: Po Box 3699, Newport Beach, CA 926598699.
What is the Amdc's specialty and taxonomy code?
The Amdc's specialty is Clinic/center, and the corresponding taxonomy code is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568437440 to Amdc?
The Centers for Medicare & Medicaid Services originally issued the 1568437440 to Amdc on 2006-02-22.
As of what date was the information regarding Amdc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Amdc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.