# RIDGECREST WOMEN'S MEDICAL PRACTICE

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

## Provider details

- **NPI number:** 1710200464
- **Authorized official:** DR. JOHN NGUYEN M.D. (PRESIDENT)
- **Authorized official phone:** (760) 446-3074

## Contact information

- **Practice address:** 1041 N CHINA LAKE BLVD, SUITE C, RIDGECREST, CA 93555-3168
- **Practice address phone:** (760) 446-3074
- **Mailing address:** 1041 N CHINA LAKE BLVD, SUITE C, RIDGECREST, CA 93555-3168
- **Mailing address phone:** (760) 446-3074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A109246 | CA | Yes |

## Other

- **Enumeration date:** 03/09/2010
- **Last updated:** 03/09/2010