1881727311 NPI number — ENKI HEALTH AND RESEARCH SYSTEMS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881727311 NPI number — ENKI HEALTH AND RESEARCH SYSTEMS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ENKI HEALTH AND RESEARCH SYSTEMS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881727311
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1000 GOODRICH BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COMMERCE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90022-5103
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
323-832-9795
Provider Business Mailing Address Fax Number:
323-832-9796

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19 S CURTIS AVE APT B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALHAMBRA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91801-3202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-422-2050
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
NARANG
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
Authorized Official Title or Position:
CLINIC MANAGER
Authorized Official Telephone Number:
323-832-9795

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  103TOOOOOX , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: ENK1221 . This is a "LOSANGELESDEPARTMENTMENTA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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