Organization Active NPI

Ril Medical Group Inc

  • General Practice Physician
  • Van Nuys, CA
National Provider Identifier
1013282938
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G45355 Issued in CA
Legal business name
RIL MEDICAL GROUP INC
Practice address
14545 Friar St Unit 113
Van Nuys, CA 91411-2397
Phone
(310) 780-8989
Fax
(310) 289-8198
NPI assigned
Mar 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Lifson, M.D.
Title
Ceo
Phone
(310) 780-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X G45355 CA Primary

Addresses

Primary practice location

14545 Friar St Unit 113
Van Nuys, CA 91411-2397

Mailing address

14545 Friar St Unit 113
Van Nuys, CA 91411-2397
Phone (310) 780-8989

National Provider Directory

National Provider Directory

Locations

14545 Friar St
#113
Van Nuys, CA 91411
Phone (818) 670-8993

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1013282938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST UNIT 113",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "310-780-8989",
            "fax_number": "310-289-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST UNIT 113",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "310-780-8989",
            "fax_number": "310-289-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "LIFSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-780-8989",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G45355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.