Healthcare Provider Details

I. General information

NPI: 1619327723
Provider Name (Legal Business Name): ENKI HEALTH & RESEARCH SYSTEMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2016
Last Update Date: 06/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2523 W 7TH ST
LOS ANGELES CA
90057-3801
US

IV. Provider business mailing address

2523 W 7TH ST
LOS ANGELES CA
90057-3801
US

V. Phone/Fax

Practice location:
  • Phone: 213-480-1557
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: CHANDA RENEE DELIFUS
Title or Position: MENTAL HEALTH REHABILIT SPECIALIST
Credential:
Phone: 310-418-7770