Healthcare Provider Details
I. General information
NPI: 1487785432
Provider Name (Legal Business Name): ENKI HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/08/2007
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
560 S ST LOUIS ST
LOS ANGELES CA
90033-4390
US
IV. Provider business mailing address
150 E OLIVE AVE #203
BURBANK CA
91502-1846
US
V. Phone/Fax
- Phone: 323-261-4900
- Fax: 323-261-4343
- Phone: 818-973-4899
- Fax: 818-973-4888
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARA
SERRANO
Title or Position: COS
Credential:
Phone: 818-973-4899