SRS-LA MIRADA LLC NPI 1538845474

NPI Information

  • NPI: 1538845474
  • Provider Name: SRS-LA MIRADA LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: SRS-LA MIRADA, LLC
  • Address: 14337 IMPERIAL HWY
    LA MIRADA, CA
    ZIP 90638
  • Phone: (615) 988-7881

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NPI Details

SRS-LA MIRADA LLC is an end-stage renal disease (esrd) treatment clinic center in La Mirada, CA. SRS-LA MIRADA LLC NPI is 1538845474. The provider is registered as an organization entity type.
The provider Is Doing Business As Srs-la Mirada, Llc.

The provider's business location address is:

14337 IMPERIAL HWY
LA MIRADA, CA
ZIP 90638
Phone: (615) 988-7881

The provider's authorized official is Jerome 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 1/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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