Individual ProviderQuaison WileyCounselorBehavioral Health & Social Service ProvidersPractice Address5310 S Hoover St, Los Angeles, CA 90037-3734(323) 235-2517PECOS EnrollmentBased on the most recent information from CMS, provider Quaison Wiley does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1114127297Provider TypeIndividualFull NameWiley, QuaisonGenderMaleSole ProprietorNoEnumeration Date7/18/2007Last Updated7/18/2007Contact InformationPractice LocationPractice Address5310 S Hoover St, Los Angeles, CA 90037-3734Phone(323) 235-2517FaxUnlisted FaxMailing LocationMailing Address4628 S Vermont Ave Apt 3, Los Angeles, CA 90037-2965PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID5748DescriptionOtherIssuerCASCalifornia