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NPI Code Detail

MEDICARE: ENKI HEALTH SERVICES, INC.

MEDICARE: ENKI HEALTH SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245361948
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENKI HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 150 E OLIVE AVE
Second Line : #203
City : BURBANK
State : CA
Zip : 91502-1846
Country : US
Telephone Number : 818-973-4899
Fax Number : 818-973-4888
Provider Business Practice Location Address
First Line : 6001 CLARA ST
Second Line :
City : BELL GARDENS
State : CA
Zip : 90201-4723
Country : US
Telephone Number : 562-806-5000
Fax Number : 562-806-9395
Authorized Official
Title or Position : COS
Name : SARA SERRANO
Credential :
Telephone Number : 818-973-4899
Provider Enumeration Date : 03/07/2007
Last Update Date : 06/19/2025

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Directions to “ENKI HEALTH SERVICES, INC. ” Practice Location

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