Organization
AETHERIA AESTHETICS & WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GARY HODOR DO (MEDICAL DIRECTOR)
(760) 282-4931
Entity
Organization
Contact information
Practice address
901 N HERITAGE DR STE 103, RIDGECREST, CA 93555-5541
(760) 282-4931
(760) 282-4931
Mailing address
901 N HERITAGE DR STE 103, RIDGECREST, CA 93555-5541
(760) 282-4931
(760) 282-4931
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
01/13/2026
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