| The Ridgecrest Medical Group Pc | |
|
12235 La Maida St Valley Village CA 91607 | |
| (323) 229-4217 | |
| Not Available |
| Full Name | The Ridgecrest Medical Group Pc |
|---|---|
| Speciality | General Practice |
| Location | 12235 La Maida St, Valley Village, California |
| Authorized Official Name and Position | Michael Wensley (OWNER) |
| Authorized Official Contact | 9497058226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ridgecrest Medical Group Pc 116 1/2 Crystal Ave Newport Beach CA 92662-1380 Ph: (949) 610-5240 | The Ridgecrest Medical Group Pc 12235 La Maida St Valley Village CA 91607 Ph: (323) 229-4217 |
| NPI Number | 1295672913 |
|---|---|
| Provider Enumeration Date | 04/30/2026 |
| Last Update Date | 04/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295672913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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