Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boris Management Corp

Organization Assisted Living Facility · NPI 1407230162

Boris Management Corp is an Assisted Living Facility in Los Angeles, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

654 Lillian Way
Los Angeles, CA 90004-1108
Phone: (323) 856-0161
Fax: (323) 464-7041
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 197609131 (CA)

Record details

NPI number1407230162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Boris Skuratovich — President · (323) 610-2841
Other names Country Club North
NPI enumeratedJuly 13, 2015
Last updated in NPPESJune 20, 2018
Mailing address654 Lillian Way, Los Angeles, CA 90004-1108

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