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NPI Code Detail

MEDICARE: MR. EDWARD THOMAS KASKY

MEDICARE: MR. EDWARD THOMAS KASKY
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) CounselorCA

General Provider Information

NPI Number : 1780521989
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EDWARD THOMAS KASKY
Provider Business Mailing Address
First Line : 8330 LANKERSHIM BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-1615
Country : US
Telephone Number : 818-252-1400
Fax Number :
Provider Business Practice Location Address
First Line : 8330 LANKERSHIM BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-1615
Country : US
Telephone Number : 818-252-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ MR. EDWARD THOMAS KASKY ” Practice Location

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