Provider Demographics
NPI:1659956555
Name:THE RILLIE GROUP
Entity Type:Organization
Organization Name:THE RILLIE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RISHI
Authorized Official - Middle Name:
Authorized Official - Last Name:KHATRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-571-5957
Mailing Address - Street 1:4201 TORRANCE BLVD STE 720
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4506
Mailing Address - Country:US
Mailing Address - Phone:310-571-5957
Mailing Address - Fax:
Practice Address - Street 1:4201 TORRANCE BLVD STE 720
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4506
Practice Address - Country:US
Practice Address - Phone:310-571-5957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center