Individual
DIANA GASCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
82934 CIVIC CENTER DR, INDIO, CA 92201-4308
(909) 382-7100
Mailing address
82934 CIVIC CENTER DR, INDIO, CA 92201-4308
(760) 477-0733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A89607
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64106289
—
KY
Enumeration date
07/05/2006
Last updated
07/19/2022
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