Provider Demographics
NPI:1245384296
Name:ENKI HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:ENKI HEALTH SERVICES, INC.
Other - Org Name:
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:STE. 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 1:160 S 7TH AVE
Practice Address - Street 2:
Practice Address - City:LA PUENTE
Practice Address - State:CA
Practice Address - Zip Code:91746-3211
Practice Address - Country:US
Practice Address - Phone:626-961-8971
Practice Address - Fax:626-961-6685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000001912Medicaid
CA000007254Medicaid
CA000007977Medicaid
CA000007258Medicaid
CA000007452Medicaid
CA000007472Medicaid
CA000007173Medicaid
CA000007253Medicaid
CA000007360Medicaid
CA000000215Medicaid
CA000007255Medicaid