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Organization
RIDGECREST MEDICAL GROUP INC
Active
Organization
RIDGECREST MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYUZANNA MARKOSYAN NP (PRESIDENT & CEO)
(323) 229-4217
Entity
Organization
Contact information
Practice address
12233 LA MAIDA ST, VALLEY VILLAGE, CA 91607-3622
(323) 229-4217
Mailing address
25044 PEACHLAND AVE STE 209, NEWHALL, CA 91321-5751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
09/08/2025
Last updated
10/29/2025
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