NPI 1003360124

Leisure Village

Organisation Assisted Living Facility Tarzana, CA

Practice location

Address: 19562 Ventura Blvd STE 229, Tarzana, CA 91356-7126
Phone: (818) 585-2200

Authorised official

Name: Koke Ahankoob
Title: President
Phone: (818) 402-7867

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 197607542 (CA)

Other Assisted Living Facility providers in California →

Registry record

NPI: 1003360124
Entity type: Organization
NPI issued: 5 Aug 2016
Record last updated: 5 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.