Srs-Thousand Oaks
NPI #1912654468 in Thousand Oaks, California
Provider Information
- NPI Number
- 1912654468
- Entity Type
- Organization
- Organization Name
- Srs-Thousand Oaks
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 4, 2022
- Last Updated
- Dec 12, 2023
Practice Location
- Address
- 375 ROLLING OAKS DR
- City
- Thousand Oaks
- State
- California
- ZIP Code
- 91361-1023
- Phone
- (615) 467-0140
Authorized Official
- Name
- DR. JEROME SEYMOUR TANNENBAUM MD, M.D, PH.D., FACP
- Title
- CEO
- 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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