Healthcare Provider Details

I. General information

NPI: 1942456322
Provider Name (Legal Business Name): STEPHEN MATTHEW DOANE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2008
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23451 MADISON ST STE 340
TORRANCE CA
90505-4762
US

IV. Provider business mailing address

3401 N BROAD ST TEMPLE UNIVERSITY HOSPITAL
PHILADELPHIA PA
19140-5103
US

V. Phone/Fax

Practice location:
  • Phone: 310-373-6864
  • Fax:
Mailing address:
  • Phone: 215-707-7032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMT190867
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberA119713
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: