Madokoro, Glenn Douglas

Madokoro, Glenn Douglas is an individual health care provider with primary practice located at 2901 W Coast Hwy Ste 200 , Newport Beach CA 92663-4045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Madokoro, Glenn Douglas can be contacted via phone (949) 548-8800.

Contact Information

Primary practice address
2901 W Coast Hwy Ste 200 Newport Beach CA 92663-4045
Phone: (949) 548-8800
Fax: (949) 548-0248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G30192 California

Profile Details

NPI number 1639255060
LBN Legal business name Madokoro, Glenn Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Dec 2nd, 2022 - about 3 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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