Organization · Type 2 NPI
The Ridgecrest Medical Group PC
General Practice Physician · Valley Village, CA
NPI number
1295672913
Active
Practice location
12235 La Maida St
Valley Village, CA 91607
Mailing address
116 1/2 Crystal Ave
Newport Beach, CA 92662-1380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Valley Village
About NPI 1295672913
The Ridgecrest Medical Group PC's National Provider Identifier is 1295672913, issued on Apr 30, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Valley Village, CA. The record was last updated on Apr 30, 2026.