# RIL MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013282938
- **Authorized official:** ROBERT LIFSON M.D. (CEO)
- **Authorized official phone:** (310) 780-8989

## Contact information

- **Practice address:** 14545 FRIAR ST UNIT 113, VAN NUYS, CA 91411-2397
- **Practice address phone:** (310) 780-8989
- **Practice address fax:** (310) 289-8198
- **Mailing address:** 14545 FRIAR ST UNIT 113, VAN NUYS, CA 91411-2397
- **Mailing address phone:** (310) 780-8989
- **Mailing address fax:** (310) 289-8198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G45355 | CA | Yes |

## Other

- **Enumeration date:** 03/09/2012
- **Last updated:** 03/09/2012