Organization
AMDC
Active
Other names
CAtalina Island Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL FRAZE M.D. (PHYSICIAN)
(310) 510-0700
Entity
Organization
Contact information
Practice address
4870 BARRANCA PKWY, SUITE 110, IRVINE, CA 92604-4709
(949) 857-1248
(949) 559-1165
Mailing address
PO BOX 3699, NEWPORT BEACH, CA 92659-8699
(949) 857-1248
(949) 559-1165
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A69508
CA
261Q00000X
Clinic/Center
A69508
CA
282NR1301X
Rural Acute Care Hospital
A69508
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A69508
CALIF STATE MEDICAL LIC
CA
Enumeration date
02/22/2006
Last updated
09/11/2025
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