Healthcare Provider Details

I. General information

NPI: 1568642122
Provider Name (Legal Business Name): BJ ADREZIN MS, NMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2007
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32123 LINDERO CANYON RD STE 210A
WESTLAKE VILLAGE CA
91361-4204
US

IV. Provider business mailing address

32123 LINDERO CANYON RD STE 210A
WESTLAKE VILLAGE CA
91361-4204
US

V. Phone/Fax

Practice location:
  • Phone: 818-877-7000
  • Fax:
Mailing address:
  • Phone: 818-877-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1290
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: