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Lake Balboa Health Care, Inc.

Skilled Nursing Facility in Van Nuys, CA · enumerated 2005 · authorized official Marc Johnson, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053396366

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Balboa Health Care, Inc.
Other name <Unavail>
Practice address 16955 Vanowen St, Van Nuys, CA, 91406
Enumeration date Dec 8, 2005
Last updated in NPPES Apr 5, 2024

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 920000005 (CA) Primary

Authorized official

Name Marc Johnson
Title Cfo

Other identifiers

Identifier Type State Issuer
ZZT06180I Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lake Balboa Health Care, Inc.?
The NPI for Lake Balboa Health Care, Inc. is 1053396366, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lake Balboa Health Care, Inc.?
NPPES lists Marc Johnson (Cfo) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-05.