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General NPI Number Information
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NPI Number | 1356204002
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Entity Type | Organization
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Legal Business Name | NEUROMIND PC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 11150 W OLYMPIC BLVD STE 775
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City | LOS ANGELES
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State | CA
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Zip | 90064-1850
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Country | US
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Telephone | 424-369-9000
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Fax | 424-369-0990
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Provider Business Mailing Address
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Address Line | 3600 HARBOR BLVD STE 110-369
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City | OXNARD
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State | CA
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Zip | 93035-4136
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Country | US
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Telephone | 424-369-9000
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Fax | 424-369-0990
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Authorized Official
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Title or Position | CEO
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Name | DR. BJ ADREZIN
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Credential |
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Telephone | 424-369-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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