| Organization Name: | RIL MEDICAL GROUP INC |
| NPI Number: | 1013282938 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT LIFSON (CEO) |
| Mailing Address: | 14545 Friar St Unit 113 Van Nuys |
| State: | CA US |
| Postal Code: | 914112397 |
| Phone Number: | 3107808989 |
| Fax Number: | 3102898198 |
| NPI Enumeration Date: | 03/09/2012 |
| NPI Last Update Date: | 03/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G45355 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |