Aetheria Aesthetics & Wellness, INC.
Family Medicine in Ridgecrest, CA. Organization (NPI-2).
NPI number1700750197
StatusActive
Last updated in NPPESJan 13, 2026
Details
- NPI
- 1700750197
- Entity type
- Organization (NPI-2)
- Legal business name
- Aetheria Aesthetics & Wellness, INC.
- Organization subpart
- No
- Enumeration date
- Sep 30, 2025
- Certification date
- Jan 13, 2026
- Last updated
- Jan 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 202D00000X | Integrative Medicine | – | – |
Practice location
901 N Heritage Dr Ste 103Ridgecrest, CA 93555-5541
Phone 760-282-4931 · Fax 760-282-4931
Mailing address
901 N Heritage Dr Ste 103Ridgecrest, CA 93555-5541
Phone 760-282-4931 · Fax 760-282-4931
Authorized official
Jonathan Gary Hodor
Medical Director
7602824931
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