| Enki Health Services, Inc | |
|
1436 Goodrich Blvd City Of Commerce CA 90022-5111 | |
| (323) 725-1337 | |
| (323) 278-5344 |
| Full Name | Enki Health Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1436 Goodrich Blvd, City Of Commerce, California |
| Authorized Official Name and Position | Darren Takemoto (CFO) |
| Authorized Official Contact | 8189734899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enki Health Services, Inc 150 E Olive Ave #203 Burbank CA 91502-1846 Ph: (818) 973-4899 | Enki Health Services, Inc 1436 Goodrich Blvd City Of Commerce CA 90022-5111 Ph: (323) 725-1337 |
| NPI Number | 1861523540 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861523540 | NPI | - | NPPES |
| 000007253 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |