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NPI Code Detail

MEDICARE: KOUESSEU AND ASSOCIATES.INC

MEDICARE: KOUESSEU AND ASSOCIATES.INC
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
1251B00000XCase Management Agency
2251J00000XNursing Care Agency
3251S00000XCommunity/Behavioral Health Agency
4385H00000XRespite Care

General Provider Information

NPI Number : 1689562944
Entity Type Code : Organization
Provider Name (Legal Business Name) : KOUESSEU AND ASSOCIATES.INC
Provider Business Mailing Address
First Line : 2864 E FLORENCE AVE STE 101
Second Line :
City : HUNTINGTON PARK
State : CA
Zip : 90255-5749
Country : US
Telephone Number : 424-376-7211
Fax Number :
Provider Business Practice Location Address
First Line : 2864 E FLORENCE AVE STE 101
Second Line :
City : HUNTINGTON PARK
State : CA
Zip : 90255-5749
Country : US
Telephone Number : 424-376-7211
Fax Number :
Authorized Official
Title or Position : OWNER
Name : GISLENE KOUESSEU
Credential : ADMINISTRATOR
Telephone Number : 424-376-7211
Provider Enumeration Date : 06/25/2025
Last Update Date : 07/10/2025

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Directions to “KOUESSEU AND ASSOCIATES.INC ” Practice Location

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