Provider Demographics
NPI:1467698720
Name:KAHANA, DORON DAVID (MD)
Entity Type:Individual
Prefix:
First Name:DORON
Middle Name:DAVID
Last Name:KAHANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23600 TELO AVE
Mailing Address - Street 2:SUITE 260
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4035
Mailing Address - Country:US
Mailing Address - Phone:310-539-2055
Mailing Address - Fax:866-591-7297
Practice Address - Street 1:23600 TELO AVE
Practice Address - Street 2:SUITE 260
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4035
Practice Address - Country:US
Practice Address - Phone:310-539-2055
Practice Address - Fax:866-591-7297
Is Sole Proprietor?:No
Enumeration Date:2008-12-16
Last Update Date:2011-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA916212080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAM050376OtherGROUP
CABE840YMedicare PIN
CABE840ZMedicare PIN