Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
S A M MEDICINE INC
Active
Organization
S A M MEDICINE INC
Active
Other names
CAMPUS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRAN RAVAEI RPH (PRESIDENT)
(310) 208-2340
Entity
Organization
Contact information
Practice address
100 UCLA MEDICAL PLZ STE 150, LOS ANGELES, CA 90024-7001
(310) 208-2340
(310) 209-2397
Mailing address
100 UCLA MEDICAL PLZ STE 150, LOS ANGELES, CA 90024-7001
(310) 208-2340
(310) 209-2397
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY44219
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0519201
NABP NUMBER
CA
05
—
PHA442190
—
CA
Enumeration date
09/25/2006
Last updated
06/23/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up