Provider Demographics
NPI:1619691128
Name:HUSSEIN, JOSE LUIS
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:LUIS
Last Name:HUSSEIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2144 CALIFORNIA ST NW APT 903
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-1828
Mailing Address - Country:US
Mailing Address - Phone:202-215-5883
Mailing Address - Fax:
Practice Address - Street 1:2144 CALIFORNIA ST NW APT 903
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-1828
Practice Address - Country:US
Practice Address - Phone:202-215-5883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant