NPI Code Details Logo

NPI 1285625376

NPI 1285625376 : ENHEALTH, INC : TORRANCE, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1285625376
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ENHEALTH, INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/29/2005
-----------------------------------------------------
    Last Update Date     |    06/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3400 LOMITA BLVD STE 102
-----------------------------------------------------
    City                 |    TORRANCE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90505-4909
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    310-530-3010
-----------------------------------------------------
    Fax                  |    310-530-7618
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3400 LOMITA BLVD STE 102
-----------------------------------------------------
    City                 |    TORRANCE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90505-4909
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    310-530-3010
-----------------------------------------------------
    Fax                  |    310-530-7618
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     EDWARD HWAN LEE 
-----------------------------------------------------
    Credential           |    RPH
-----------------------------------------------------
    Telephone            |    310-530-3010
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    333600000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    3336C0004X
-----------------------------------------------------
    Taxonomy Name        |    Compounding Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.