| Enki Health Services, Inc. | |
|
160 S 7th Ave La Puente CA 91746-3211 | |
| (626) 961-8971 | |
| (626) 961-6685 |
| Full Name | Enki Health Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 160 S 7th Ave, La Puente, 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 |
|---|---|
| Enki Health Services, Inc. 150 E Olive Ave Ste. 203 Burbank CA 91502-1846 Ph: (818) 973-4899 | Enki Health Services, Inc. 160 S 7th Ave La Puente CA 91746-3211 Ph: (626) 961-8971 |
| NPI Number | 1245384296 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245384296 | NPI | - | NPPES |
| 000001912 | Medicaid | CA | |
| 000007254 | Medicaid | CA | |
| 000007977 | Medicaid | CA | |
| 000007258 | Medicaid | CA | |
| 000007452 | Medicaid | CA | |
| 000007472 | Medicaid | CA | |
| 000007173 | Medicaid | CA | |
| 000007253 | Medicaid | CA | |
| 000007360 | Medicaid | CA | |
| 000000215 | Medicaid | CA | |
| 000007255 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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