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NPI Code Detail

MEDICARE: MR. GABRIEL KASON

MEDICARE: MR. GABRIEL KASON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2171M00000XCase Manager/Care Coordinator11901CA

General Provider Information

NPI Number : 1447473624
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GABRIEL KASON
Provider Business Mailing Address
First Line : 44199 MONROE ST
Second Line :
City : INDIO
State : CA
Zip : 92201-3096
Country : US
Telephone Number : 760-347-0754
Fax Number : 760-347-8507
Provider Business Practice Location Address
First Line : 44199 MONROE ST
Second Line :
City : INDIO
State : CA
Zip : 92201-3096
Country : US
Telephone Number : 760-347-0754
Fax Number : 760-347-8507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 01/28/2026

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