NPI:
1457037384
Provider Name:
SRS-LOS NIETOS
Doing Business As: SRS-LOS NIETOS, LLC
Classification:
Clinic/Center - 261QE0700X
Entity Type:
Organization
Specialization: End-Stage Renal Disease (ESRD) Treatment
Address:
10012 NORWALK BLVD. STE 190
SANTA FE SPRINGS, CA
ZIP 90670
Phone:
(615) 988-7881
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SRS-LOS NIETOS is an end-stage renal disease (esrd) treatment clinic center in Santa Fe Springs, CA. SRS-LOS NIETOS NPI is 1457037384. The provider is registered as an organization entity type.
The provider Is Doing Business As Srs-los Nietos, Llc.
The provider's business location address is:
10012 NORWALK BLVD. STE 190
SANTA FE SPRINGS, CA
ZIP 90670
Phone: (615) 988-7881
The provider's authorized official is Jerome S Tannenbaum .
The authorized official title is Ceo and has the following contact phone number (615) 467-0140.
The enumeration date for this NPI number is 6/26/2023 and was last updated on 12/12/2023.