Individual
DR. JASMINE IMAN KASHKOUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT218190
PA
208800000X
Urology Physician
0101284566
VA
208800000X
Urology Physician
Primary
A192484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30018306320001
—
VA
Enumeration date
06/07/2019
Last updated
08/04/2025
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