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Contact Information

MORONGO BASIN OB/GYN
57445 29 PALMS HWY
STE 301
YUCCA VALLEY, CA92284-2947
 Phone: 760-365-2800
 Fax: 760-365-1406
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207VC0200X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MORONGO BASIN OB/GYN

NPI # 1992705370
LBN Legal business name MORONGO BASIN OB/GYN
Authorized official ANDRE KASKO - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2005
Last updated 03/12/2010 - About 16 years ago
Identifiers
CA License # 20A6300
CA Medicaid 00AX63000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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