Individual provider · Type 1 NPI

Cora Ridenour

Medical Physician Assistant · San Diego, CA

NPI number 1750168076 Active

Practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Call (800) 926-8273 Map

Fax (888) 539-8781

Mailing address

File 57326
Los Angeles, CA 90074-7326

Other practice locations

  • 9350 Campus Point Dr Ste 2C, La Jolla, CA 92037-1300 · (800) 926-8273
  • 4303 La Jolla Village Dr Ste 2110, San Diego, CA 92122-1396 · (800) 926-8273
  • 4250 1st Ave, San Diego, CA 92103-2026 · (800) 926-8273
  • 8631 W 3rd St # 815E, Los Angeles, CA 90048-5901 · (310) 858-2224

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X63295 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1750168076

Cora Ridenour's National Provider Identifier is 1750168076, issued on Sep 11, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Diego, CA. The record was last updated on Jun 25, 2026.