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

Leisure Village

Organization Assisted Living Facility · NPI 1003360124

Leisure Village is an Assisted Living Facility in Tarzana, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

19562 Ventura Blvd Ste 229
Tarzana, CA 91356-7126
Phone: (818) 585-2200
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 197607542 (CA)

Record details

NPI number1003360124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Koke Ahankoob — President · (818) 402-7867
NPI enumeratedAugust 5, 2016
Last updated in NPPESAugust 5, 2016
Mailing address19562 Ventura Blvd Ste 229, Tarzana, CA 91356-7126

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