# RIDGECREST SPECIALTY SURGERY CENTER A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396022257
- **Authorized official:** SHERI ALLEY (CREDENTIALING, DIRECTOR)
- **Authorized official phone:** (661) 388-5240

## Contact information

- **Practice address:** 1200 N CHINA LAKE BLVD, RIDGECREST, CA 93555
- **Practice address phone:** (800) 991-6448
- **Practice address fax:** (424) 369-9555
- **Mailing address:** PO BOX 16297, BEVERLY HILLS, CA 90209-2297
- **Mailing address phone:** (800) 991-6448
- **Mailing address fax:** (424) 369-9555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2011
- **Last updated:** 08/25/2026