Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lake Balboa Health Care, Inc

Organization Skilled Nursing Facility · NPI 1053396366

Lake Balboa Health Care, Inc is a Skilled Nursing Facility in Van Nuys, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
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

16955 Vanowen St
Van Nuys, CA 91406-4542
Phone: (818) 343-0700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 920000005 (CA)

Record details

NPI number1053396366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Johnson — Cfo · (949) 373-8373
Other names Lake Balboa Post-Acute Rehab; Lake Balboa Post-Acute Rehab
NPI enumeratedDecember 8, 2005
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024
Mailing address25910 Acero Ste 350, Mission Viejo, CA 92691-7908

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Van Nuys