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
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1932230638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENKI HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	150 E OLIVE AVE STE 203
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-1849
Country	:	US
Telephone Number	:	818-973-4899
Fax Number	:	818-973-4888

Provider Business Practice Location Address
First Line	:	741 E 14TH PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90021-2117
Country	:	US
Telephone Number	:	213-480-1557
Fax Number	:	213-480-1182

Authorized Official
Title or Position	:	COS
Name	:	SARA SERRANO
Credential	:
Telephone Number	:	818-973-4899

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	11/14/2025

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

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