Provider Demographics
NPI:1689562944
Name:KOUESSEU AND ASSOCIATES.INC
Entity type:Organization
Organization Name:KOUESSEU AND ASSOCIATES.INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GISLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOUESSEU
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:424-376-7211
Mailing Address - Street 1:2864 E FLORENCE AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-5749
Mailing Address - Country:US
Mailing Address - Phone:424-376-7211
Mailing Address - Fax:
Practice Address - Street 1:2864 E FLORENCE AVE STE 101
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-5749
Practice Address - Country:US
Practice Address - Phone:424-376-7211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care