Madorsky, Simon Joseph

Madorsky, Simon Joseph is an individual health care provider with primary practice located at 180 Newport Center Dr 158, Newport Beach CA 92660-6972. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Madorsky, Simon Joseph can be contacted via phone (949) 719-1800.

Contact Information

Primary practice address
180 Newport Center Dr 158 Newport Beach CA 92660-6972
Phone: (949) 719-1800
Fax: (949) 719-1810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X A50075 California
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X A50075 California

Profile Details

NPI number 1447259981
LBN Legal business name Madorsky, Simon Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Oct 8th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447259981 NPPES
Other P00002596 RAILROAD MEDICARE
Other P01404246 RAILROAD MEDICARE
MEDICAID 00A500750 RAILROAD MEDICARE

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