Provider Demographics
NPI:1225841901
Name:KOUSARI, LEYLA MARIA (RN)
Entity type:Individual
Prefix:
First Name:LEYLA
Middle Name:MARIA
Last Name:KOUSARI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11574 LEMP CT
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91602-2082
Mailing Address - Country:US
Mailing Address - Phone:480-406-3797
Mailing Address - Fax:
Practice Address - Street 1:11574 LEMP CT
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91602-2082
Practice Address - Country:US
Practice Address - Phone:480-406-3797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95111234163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse