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:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447259981 | NPPES |
| Other | P00002596 | RAILROAD MEDICARE | |
| Other | P01404246 | RAILROAD MEDICARE | |
| MEDICAID | 00A500750 | RAILROAD MEDICARE |
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