Glenn Douglas Madokoro in Newport Beach - Gastroenterology

Glenn Douglas Madokoro - NPI 1639255060

Glenn Douglas Madokoro is a Gastroenterology in Newport Beach, California. Glenn Douglas Madokoro practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Glenn Douglas Madokoro is 1639255060. The last update date is 2022-12-02.

Glenn Douglas Madokoro's current location address is 2323 Cliff Dr, Newport Beach, California. You can contact this provider via phone number 9495488800 and fax number 8553243537. The mailing address for Glenn Douglas Madokoro is 2323 Cliff Dr, Newport Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Glenn Douglas Madokoro
Address 2323 Cliff Dr, Newport Beach, California
Phone Number 9495488800
Fax Number 8553243537
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1639255060
Provider Enumeration Date 2006-10-27
Last Updated Date 2022-12-02

Provider Mailing Address Detail

Address 2323 Cliff Dr
City Newport Beach
State California (CA)
Post Code 926635124
Phone Number 9495488800
Fax Number 8553243537

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No G30192
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

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FAQs about Glenn Douglas Madokoro

What is the unique 10-digit identification code assigned to Glenn Douglas Madokoro by the Centers for Medicare & Medicaid Services?

The Glenn Douglas Madokoro has been issued the NPI (National Provider Identifier) 1639255060, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Glenn Douglas Madokoro's facilities are situated?

The facilities of Glenn Douglas Madokoro are physically located at the following address: 2323 Cliff Dr, Newport Beach, CA, 926635124.

What is Glenn Douglas Madokoro's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Glenn Douglas Madokoro is Gastroenterology, and the taxonomy code that classifies this field of practice is 207Rg0100X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1639255060 to Glenn Douglas Madokoro?

The Centers for Medicare & Medicaid Services originally issued the 1639255060 to Glenn Douglas Madokoro on 2006-10-27.

When was the Glenn Douglas Madokoro's information last updated?

The Glenn Douglas Madokoro's information was last updated on 2022-12-02.

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