Srs-La Mirada LLC

NPI #1538845474 in La Mirada, California

Provider Information

NPI Number
1538845474
Entity Type
Organization
Organization Name
Srs-La Mirada LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jun 26, 2023
Last Updated
Jan 1, 2024

Practice Location

Address
14337 IMPERIAL HWY
ZIP Code
90638
Phone
(615) 988-7881

Authorized Official

Name
DR. JEROME TANNENBAUM, MD
Title
CEO
Phone
(615) 467-0140

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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