Provider Demographics
NPI:1366871048
Name:RYLIST, INC
Entity type:Organization
Organization Name:RYLIST, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ZAMIRRIPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-584-5615
Mailing Address - Street 1:275 E HILLCREST DR
Mailing Address - Street 2:120
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-5827
Mailing Address - Country:US
Mailing Address - Phone:805-777-3783
Mailing Address - Fax:805-777-3784
Practice Address - Street 1:601 E ARRELLAGA ST
Practice Address - Street 2:101
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-2274
Practice Address - Country:US
Practice Address - Phone:805-777-3873
Practice Address - Fax:805-777-3874
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RYLIST, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-04
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41701261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health