Organization
THE RIDGECREST MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WENSLEY MD (OWNER)
(949) 705-8226
Entity
Organization
Contact information
Practice address
12235 LA MAIDA ST, VALLEY VILLAGE, CA 91607
(323) 229-4217
Mailing address
116 1/2 CRYSTAL AVE, NEWPORT BEACH, CA 92662-1380
(949) 610-5240
(949) 610-5240
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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