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Organization
KALASHO MEDICAL GROUP
Active
Organization
KALASHO MEDICAL GROUP
Active
Other names
LONGEV
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON DANIEL KALASHO (OWNER)
(619) 244-5876
Entity
Organization
Contact information
Practice address
888 PROSPECT ST STE 130, LA JOLLA, CA 92037-4260
(619) 363-5132
Mailing address
888 PROSPECT ST STE 130, LA JOLLA, CA 92037-4260
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/20/2026
Last updated
10/09/2026
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