=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447381991
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ENKI HEALTH & RESEARCH SYSTEMS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/08/2007
-----------------------------------------------------
Last Update Date | 06/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 535 S 2ND AVE
-----------------------------------------------------
City | COVINA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91723-3013
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-974-0770
-----------------------------------------------------
Fax | 626-974-0774
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 150 E OLIVE AVE #203
-----------------------------------------------------
City | BURBANK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91502-1846
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-973-4899
-----------------------------------------------------
Fax | 818-973-4888
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COS
-----------------------------------------------------
Name | SARA SERRANO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 818-973-4899
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------