MEDICARE: ASSISTANCE TO SUCCESS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	251B00000X	Case Management Agency
3	251K00000X	Public Health or Welfare Agency
4	251S00000X	Community/Behavioral Health Agency
5	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1174456933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSISTANCE TO SUCCESS

Provider Business Mailing Address
First Line	:	2473 BARRY AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-2901
Country	:	US
Telephone Number	:	424-644-5138
Fax Number	:

Provider Business Practice Location Address
First Line	:	2473 BARRY AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-2901
Country	:	US
Telephone Number	:	424-644-5138
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NIESHA BROWN PENNELL
Credential	:
Telephone Number	:	424-644-5138

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ASSISTANCE TO SUCCESS ” Practice Location

Language	Start Address	Practice Location

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