Healthcare Provider Details

I. General information

NPI: 1164387445
Provider Name (Legal Business Name): SQUAREONE AFFORDABLE HOUSING ADVOCACY AND CONSULTANT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

453 S SPRING ST STE 400
LOS ANGELES CA
90013-2074
US

IV. Provider business mailing address

453 S SPRING ST STE 400
LOS ANGELES CA
90013-2074
US

V. Phone/Fax

Practice location:
  • Phone: 831-201-5338
  • Fax: 831-201-5338
Mailing address:
  • Phone: 831-201-5338
  • Fax: 831-201-5338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: KYMBERLY IESHA MCCLAIN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 831-201-5338