Search › California › 103TS0200X

Kenneth Ridgeway

NPI 1194300517 · on the registry since 2021

Practice

Address
2221 S A St Ste 101
Perris, CA 92570
Phone
(951) 940-4942
Clinicians at this address
5

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California