Provider Demographics
NPI:1487786166
Name:ENKI HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:ENKI HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAKEMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:818-973-4899
Mailing Address - Street 1:150 E OLIVE AVE
Mailing Address - Street 2:#203
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1846
Mailing Address - Country:US
Mailing Address - Phone:818-973-4899
Mailing Address - Fax:818-973-4888
Practice Address - Street 1:3208 ROSEMEAD BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-2830
Practice Address - Country:US
Practice Address - Phone:626-227-7001
Practice Address - Fax:626-227-7002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000007452Medicaid