Healthcare Provider Details

I. General information

NPI: 1538016407
Provider Name (Legal Business Name): INGLEWOOD POST ACUTE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S HILLCREST BLVD
INGLEWOOD CA
90301-1313
US

IV. Provider business mailing address

6442 COLDWATER CANYON AVE STE 100
NORTH HOLLYWOOD CA
91606-1191
US

V. Phone/Fax

Practice location:
  • Phone: 310-677-9114
  • Fax:
Mailing address:
  • Phone: 818-853-5760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ABE BAK
Title or Position: OWNER
Credential:
Phone: 818-853-5760