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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