Healthcare Provider Details

I. General information

NPI: 1205846623
Provider Name (Legal Business Name): ZUKA HEALTH SERVICES GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 01/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4506 LENNOX BLVD
INGLEWOOD CA
90304-2216
US

IV. Provider business mailing address

12949 PRAIRIE AVE
HAWTHORNE CA
90250-5305
US

V. Phone/Fax

Practice location:
  • Phone: 310-412-4404
  • Fax:
Mailing address:
  • Phone: 310-355-2717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. PATRICK OKEKE
Title or Position: PRESIDENT
Credential: NHA
Phone: 310-908-7449