Eys Iris House

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EYS IRIS HOUSE

Practice address

643 W 95TH St
Los Angeles, CA 90044-5615

Phone

(323) 305-3209

NPI assigned

May 16, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kendra Bolden

Title

Executive Director

Phone

(562) 225-4442

Specialties & licenses 2

Addresses

Tax ID family

Embolden Youth Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Embolden Youth Services

  • Mental Illness Community Based Residential Treatment Facility
  • Los Angeles, CA
  • NPI 1154259547
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1346179264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 W 95TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900445615",
            "telephone_number": "323-305-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 W 95TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900445615",
            "telephone_number": "323-305-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYS IRIS HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-16",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "BOLDEN",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "562-225-4442",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel P Eyo, COUNSELOR
• Tanya Dawne Eyo
• Wendy Lyouwork Eyob, PHARMD
• Anita Eyong
• Clarice Law Eyre, DMD, MS
• Marie Eyssallenne
• Vaughn Aram Eyvazian, M.D.
• Ez Diagnosis Center LLC
• Ez Diagnostic Imaging Services, LLC
• Ez Speech Therapy, P.C.

• Community/Behavioral Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.