MEDICARE: NEUROMIND PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1356204002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROMIND PC

Provider Business Mailing Address
First Line	:	3600 HARBOR BLVD STE 110-369
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93035-4136
Country	:	US
Telephone Number	:	424-369-9000
Fax Number	:	424-369-0990

Provider Business Practice Location Address
First Line	:	11150 W OLYMPIC BLVD STE 775
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-1850
Country	:	US
Telephone Number	:	424-369-9000
Fax Number	:	424-369-0990

Authorized Official
Title or Position	:	CEO
Name	:	DR. BJ ADREZIN
Credential	:
Telephone Number	:	424-369-9000

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “NEUROMIND PC ” Practice Location

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