Organization Active NPI

Inner Balance Iop

  • Adult Mental Health Clinic/Center
  • Valley Village, CA
National Provider Identifier
1548173032
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
INNER BALANCE IOP
Practice address
5301 Laurel Canyon Blvd Ste 223
Valley Village, CA 91607-2790
Phone
(747) 288-6646
NPI assigned
Sep 24, 2026
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Irine Samushia
Title
Ceo
Phone
(323) 899-3453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

5301 Laurel Canyon Blvd Ste 223
Valley Village, CA 91607-2790

Mailing address

5301 Laurel Canyon Blvd Ste 223
Valley Village, CA 91607-2790
Phone (747) 288-6646

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1548173032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 LAUREL CANYON BLVD STE 223",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072790",
            "telephone_number": "747-288-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 LAUREL CANYON BLVD STE 223",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072790",
            "telephone_number": "747-288-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BALANCE IOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "SAMUSHIA",
        "authorized_official_first_name": "IRINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-899-3453"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.