Srs - Tehachapi LLC
NPI #1932524683 in Tehachapi, California
Provider Information
- NPI Number
- 1932524683
- Entity Type
- Organization
- Organization Name
- Srs - Tehachapi LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 4, 2014
- Last Updated
- Mar 27, 2024
Practice Location
- Address
- 711 VALLEY BLVD
- City
- Tehachapi
- State
- California
- ZIP Code
- 93561-2119
- Phone
- (615) 467-0140
Authorized Official
- Name
- DR. JEROME S TANNENBAUM, M.D.
- Title
- ADMINISTRATOR
- 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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