National Provider Identifier Database

THE RIDGECREST MEDICAL GROUP PC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

THE RIDGECREST MEDICAL GROUP PC
12235 LA MAIDA ST
VALLEY VILLAGE, CA91607
Phone: 323-229-4217
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for THE RIDGECREST MEDICAL GROUP PC

NPI Number 1295672913
Legal business name
LBN
THE RIDGECREST MEDICAL GROUP PC
Authorized official MICHAEL WENSLEY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/30/2026
Last updated 04/30/2026 - About a month ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for THE RIDGECREST MEDICAL GROUP PC

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