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SIMON MADORSKY M.D A MEDICAL CORPORATION NPI 1548407455


NPI Information

NPI: 1548407455
Provider Name: SIMON MADORSKY M.D A MEDICAL CORPORATION
Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
1140 W LA VETA AVE
SUITE 515
ORANGE, CA
ZIP 92868
Phone: (714) 953-6928
Get Directions

SIMON MADORSKY M.D A MEDICAL CORPORATION is a facial plastic surgery otolaryngology in Orange, CA. The provider is an otolaryngologist who specializes in facial plastic surgery. SIMON MADORSKY M.D A MEDICAL CORPORATION NPI is 1548407455. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1140 W LA VETA AVE
SUITE 515
ORANGE, CA
ZIP 92868-223
Phone: (714) 953-6928
Fax: (714) 543-8804

The provider's authorized official is Simon J Madorsky .
The authorized official title is Owner and has the following contact phone number (714) 543-2000.

The enumeration date for this NPI number is 1/14/2009 and was last updated on 1/31/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YS0123XOtolaryngologyFacial Plastic SurgeryA50075CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BK073MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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