Organization
SIMON MADORSKY M.D A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON J MADORSKY M.D (OWNER)
(714) 543-2000
Entity
Organization
Contact information
Practice address
1140 W LA VETA AVE, SUITE 515, ORANGE, CA 92868-4223
(714) 953-6928
(714) 543-8804
Mailing address
PO BOX 15788, NEWPORT BEACH, CA 92659-5788
(949) 574-4638
(949) 574-4680
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
A50075
CA
Other
Enumeration date
01/14/2009
Last updated
01/31/2012
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