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Organization
HIGH DESERT FAMILY MEDICAL CLINIC
Active
Organization
HIGH DESERT FAMILY MEDICAL CLINIC
Active
Parent organization
FAMILY HEALTH CENTER OF JOSHUA TREE INCORPORATED
Other names
High Desert Family Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH CENTER OF JOSHUA TREE INCORPORATED
Authorized official
ANDRE MARTIN KASKO DO (PRESIDENT/CEO)
(760) 369-3069
Entity
Organization
Contact information
Practice address
7350 CHURCH ST, YUCCA VALLEY, CA 92284-3246
(760) 369-3069
(760) 369-3072
Mailing address
PO BOX 1220, JOSHUA TREE, CA 92252-0810
(760) 369-3069
(760) 369-3072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1867739
—
CA
01
—
553845
MEDICARE IDENTIFICATION NUMBER
CA
Enumeration date
10/20/2009
Last updated
12/23/2024
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