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

Lakewood Manor North Inc

Organization Skilled Nursing Facility · NPI 1083759500

Lakewood Manor North Inc is a Skilled Nursing Facility in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

831 S Lake St
Los Angeles, CA 90057-4013 Not confirmed with CMS for 14 years — call before visiting
Phone: (213) 380-9175
Fax: (213) 380-1879
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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 970000069 (CA)

Record details

NPI number1083759500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Elliott — Administrator · (213) 380-9175
NPI enumeratedFebruary 21, 2007
Last updated in NPPESJune 18, 2012
Mailing address831 S Lake Street, Los Angeles

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Los Angeles