Srs-Ridgecrest
NPI #1427722776 in Ridgecrest, California
Provider Information
- NPI Number
- 1427722776
- Entity Type
- Organization
- Organization Name
- Srs-Ridgecrest
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Aug 2, 2021
- Last Updated
- Dec 12, 2023
Practice Location
- Address
- 212 S RICHMOND RD
- City
- Ridgecrest
- State
- California
- ZIP Code
- 93555-4434
- Phone
- (615) 988-7881
Authorized Official
- Name
- DR. JEROME S TANNENBAUM, MD
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (615) 467-0140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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