Individual
ANDRE MARTIN KASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
57445 29 PALMS HWY, SUITE 301, YUCCA VALLEY, CA 92284-2947
(760) 365-2800
(760) 365-1406
Mailing address
PO BOX 1220, JOSHUA TREE, CA 92252-0810
(760) 365-2800
(760) 365-1406
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
20A6300
CA
207VX0000X
Obstetrics Physician
20A6300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX63000
—
CA
05
—
207V00000X
—
CA
05
—
207VG0400X
—
CA
Enumeration date
01/12/2007
Last updated
01/10/2025
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