Organization
MORONGO BASIN OB/GYN
Active
Other names
Dr. Andre Kasko
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE M KASKO D.O. (CEO)
(760) 365-2800
Entity
Organization
Contact information
Practice address
57445 29 PALMS HWY, STE 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
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
Primary
20A6300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX63000
—
CA
Enumeration date
07/27/2005
Last updated
03/12/2010
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