Organization
GLENN D. MADOKORO, M.D, F.A.C.G., INC.
Active
Organization
GLENN D. MADOKORO, M.D, F.A.C.G., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN DOUGLAS MADOKORO M.D. (PRESIDENT)
(949) 548-8800
Entity
Organization
Contact information
Practice address
351 HOSPITAL RD, SUITE 210, NEWPORT BEACH, CA 92663-3509
(949) 548-8800
(949) 548-0248
Mailing address
351 HOSPITAL ROAD, SUITE 210, NEWPORT BEACH, CA 92663-3509
(949) 548-8800
(949) 548-0248
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G30192
CA
Other
Enumeration date
05/11/2007
Last updated
08/24/2010
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