Simon Joseph Madorsky
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
180 Newport Center Dr 158
Newport Beach
, California 92660-6972
Simon Joseph Madorsky
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
180 Newport Center Dr 158
Newport Beach
, California 92660-6972
(714) 571-5055
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Simon Joseph Madorsky
- Po Box 6765
- Orange, CA
- Zip : 92863-6765
- Fax : (714) 571-5055
- Phone : (714) 571-5000
Second Address
- Simon Joseph Madorsky
- 180 Newport Center Dr 158
- Newport Beach, CA
- Zip : 92660-6972
- Fax : (949) 719-1810
- Phone : (949) 719-1800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A50075 | CA |
| N | 207YS0123X | Facial Plastic Surgeon | A50075 | CA |
National Provider Identifier
| NPI | 1447259981 |
|---|---|
| Provider Name | Simon Joseph Madorsky |
| First Address | Orange, CA 92863-6765 |
| Second Address | Newport Beach, CA 92660-6972 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2005 |
| Last Update Date | 08/10/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A500750 | (05) | CA |
| P00002596 | RAILROAD MEDICARE (01) | |
| P01404246 | RAILROAD MEDICARE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.