LB
LAKE BALBOA CONGREGATE LIVING
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
LAKE BALBOA, CA
Licensed since
2015
Rate
—
Federal identifiers
NPI registry number1508246034
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameJOHN GEVORGYAN
TitleCEO
Phone8187730700
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Source: NPI Registry · Last refreshed June 24, 2026