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

Glen Park at Long Beach

Organization Assisted Living Facility · NPI 1932584505

Glen Park at Long Beach is an Assisted Living Facility in Long Beach, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

1046 E 4th St
Long Beach, CA 90802-1634
Phone: (562) 432-7468
Fax: (562) 432-1425
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 198602134 (CA)

Record details

NPI number1932584505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tillman Pink — President · (818) 242-9000
NPI enumeratedJuly 24, 2015
Last updated in NPPESJuly 24, 2015
Mailing address1220 Mariposa St, Glendale, CA 91205-3254

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