Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Glenn Douglas Madokoro, MD

Individual provider Gastroenterology Physician · NPI 1639255060

Dr. Glenn Douglas Madokoro, MD is a Gastroenterology Physician in Newport Beach, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2901 W Coast Hwy Ste 200
Newport Beach, CA 92663-4045
Phone: (949) 548-8800
Fax: (949) 548-0248
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence G30192 (CA)

Record details

NPI number1639255060
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 27, 2006
Last updated in NPPESDecember 2, 2022
Certification dateDecember 2, 2022

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