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

Leisure Village Inc

Organization Assisted Living Facility · NPI 1598936205

Leisure Village Inc is an Assisted Living Facility in Lake Balboa, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6726 Gaviota Ave
Lake Balboa, CA 91406-5944
Phone: (818) 402-7867
Fax: (818) 774-0563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X (CA)

Record details

NPI number1598936205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Koke Ahankoob — President · (818) 402-7867
NPI enumeratedMarch 20, 2008
Last updated in NPPESMarch 20, 2008
Mailing address19528 Ventura Blvd Ste 660, Tarzana, CA 91356-2917

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