Enki-elamhs - Commerce | |
1436 Goodrich Blvd City Of Commerce CA 90022-5111 | |
(323) 725-1337 | |
(323) 278-5344 |
Full Name | Enki-elamhs - Commerce |
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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 |
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Enki-elamhs - Commerce 150 E Olive Ave #203 Burbank CA 91502-1846 Ph: (818) 973-4899 | Enki-elamhs - Commerce 1436 Goodrich Blvd City Of Commerce CA 90022-5111 Ph: (323) 725-1337 |
NPI Number | 1861523540 |
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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 |