{
"Npi": {
"NPI": "1144684721",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ENKI HEALTH SERVICE, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "150 E OLIVE AVE",
"SecondLineMailingAddress": "#203",
"MailingAddressCityName": "BURBANK",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91502-1846",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-973-4899",
"MailingAddressFaxNumber": "818-973-4888",
"FirstLinePracticeLocationAddress": "1215 W WEST COVINA PKWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WEST COVINA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91790-2946",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "626-974-0770",
"PracticeLocationAddressFaxNumber": "626-974-0774",
"EnumerationDate": "04/08/2016",
"LastUpdateDate": "06/19/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SERRANO",
"AuthorizedOfficialFirstName": "SARA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "COS",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "818-973-4899",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}