Provider Demographics
NPI:1881727311
Name:ENKI HEALTH AND RESEARCH SYSTEMS, INC.
Entity type:Organization
Organization Name:ENKI HEALTH AND RESEARCH SYSTEMS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:NARANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:323-832-9795
Mailing Address - Street 1:1000 GOODRICH BLVD
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:CA
Mailing Address - Zip Code:90022-5103
Mailing Address - Country:US
Mailing Address - Phone:323-832-9795
Mailing Address - Fax:323-832-9796
Practice Address - Street 1:19 S CURTIS AVE APT B
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3202
Practice Address - Country:US
Practice Address - Phone:310-422-2050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103TOOOOOX251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAENK1221OtherLOSANGELESDEPARTMENTMENTA