Provider Demographics
NPI:1619327723
Name:ENKI HEALTH & RESEARCH SYSTEMS INC.
Entity Type:Organization
Organization Name:ENKI HEALTH & RESEARCH SYSTEMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH REHABILIT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:CHANDA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:DELIFUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-418-7770
Mailing Address - Street 1:2523 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-3801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2523 W 7TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-3801
Practice Address - Country:US
Practice Address - Phone:213-480-1557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-20
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty