Healthcare Provider Details

I. General information

NPI: 1346185063
Provider Name (Legal Business Name): RIDGELINE HEALTH GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10921 WILSHIRE BLVD STE 1111
LOS ANGELES CA
90024-4005
US

IV. Provider business mailing address

10921 WILSHIRE BLVD STE 1111
LOS ANGELES CA
90024-4005
US

V. Phone/Fax

Practice location:
  • Phone: 310-740-0001
  • Fax:
Mailing address:
  • Phone: 310-740-0001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHA ROJANY
Title or Position: OWNER
Credential: M.D.
Phone: 310-740-0001