Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aetheria Aesthetics & Wellness, Inc

Organization Integrative Medicine Physician · NPI 1700750197

Aetheria Aesthetics & Wellness, Inc is an Integrative Medicine Physician in Ridgecrest, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

901 N Heritage Dr Ste 103
Ridgecrest, CA 93555-5541
Phone: (760) 282-4931
Fax: (760) 282-4931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Integrative Medicine Physician Taxonomy 202D00000X

Record details

NPI number1700750197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Hodor — Medical Director · (760) 282-4931
NPI enumeratedSeptember 30, 2025
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address901 N Heritage Dr Ste 103, Ridgecrest, CA 93555-5541

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