Healthcare Provider Details

I. General information

NPI: 1467698720
Provider Name (Legal Business Name): DORON DAVID KAHANA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2008
Last Update Date: 08/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23600 TELO AVE SUITE 260
TORRANCE CA
90505-4035
US

IV. Provider business mailing address

23600 TELO AVE SUITE 260
TORRANCE CA
90505-4035
US

V. Phone/Fax

Practice location:
  • Phone: 310-539-2055
  • Fax: 866-591-7297
Mailing address:
  • Phone: 310-539-2055
  • Fax: 866-591-7297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License NumberA91621
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: