Organization
IRIS HEALING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA KAPUSTINA PSYD (CEO)
(323) 449-0016
Entity
Organization
Contact information
Practice address
20300 VENTURA BLVD STE 300, WOODLAND HILLS, CA 91364-0901
(323) 449-0016
(323) 449-0016
Mailing address
20300 VENTURA BLVD STE 300, WOODLAND HILLS, CA 91364-0901
(323) 449-0016
(818) 301-1940
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/30/2017
Last updated
07/02/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us