Provider Demographics
NPI:1205846623
Name:ZUKA HEALTH SERVICES GROUP INC.
Entity Type:Organization
Organization Name:ZUKA HEALTH SERVICES GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:OKEKE
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:310-908-7449
Mailing Address - Street 1:12949 PRAIRIE AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-5305
Mailing Address - Country:US
Mailing Address - Phone:310-355-2717
Mailing Address - Fax:
Practice Address - Street 1:4506 LENNOX BLVD
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90304-2216
Practice Address - Country:US
Practice Address - Phone:310-412-4404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation