MEDICARE: RISK MANAGEMENT SERVICES GROUP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1477999654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RISK MANAGEMENT SERVICES GROUP, INC.

Provider Business Mailing Address
First Line	:	30401 AGOURA RD
Second Line	:	#101
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-2084
Country	:	US
Telephone Number	:	818-991-5691
Fax Number	:	818-979-2502

Provider Business Practice Location Address
First Line	:	30401 AGOURA RD
Second Line	:	#101
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-2084
Country	:	US
Telephone Number	:	818-991-5691
Fax Number	:	818-979-2502

Authorized Official
Title or Position	:	CEO
Name	:	MR. DAVID THORSON
Credential	:
Telephone Number	:	818-991-5691

Provider Enumeration Date	:	05/15/2013
Last Update Date	:	05/15/2013

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