| Ridgecrest Medical Group Inc | |
|
12233 La Maida St Valley Village CA 91607-3622 | |
| (323) 229-4217 | |
| Not Available |
| Full Name | Ridgecrest Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 12233 La Maida St, Valley Village, California |
| Authorized Official Name and Position | Syuzanna Markosyan (PRESIDENT & CEO) |
| Authorized Official Contact | 3232294217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgecrest Medical Group Inc 25044 Peachland Ave Ste 209 Newhall CA 91321-5751 Ph: () - | Ridgecrest Medical Group Inc 12233 La Maida St Valley Village CA 91607-3622 Ph: (323) 229-4217 |
| NPI Number | 1942181938 |
|---|---|
| Provider Enumeration Date | 09/08/2025 |
| Last Update Date | 10/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942181938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
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