Healthcare Provider Details

I. General information

NPI: 1861523540
Provider Name (Legal Business Name): ENKI HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 GOODRICH BLVD
CITY OF COMMERCE CA
90022-5111
US

IV. Provider business mailing address

150 E OLIVE AVE #203
BURBANK CA
91502-1846
US

V. Phone/Fax

Practice location:
  • Phone: 323-725-1337
  • Fax: 323-278-5344
Mailing address:
  • Phone: 818-973-4899
  • Fax: 818-973-4888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DARREN TAKEMOTO
Title or Position: CFO
Credential: CPA
Phone: 818-973-4899