NPI: 1912654468
Provider Name: SRS-THOUSAND OAKS
Doing Business As: SRS-THOUSAND OAKS, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization
Specialization: End-Stage Renal Disease (ESRD) Treatment
Address:
375 ROLLING OAKS DR
THOUSAND OAKS, CA
ZIP 91361
Phone: (615) 467-0140
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SRS-THOUSAND OAKS is an end-stage renal disease (esrd) treatment clinic center in Thousand Oaks, CA. SRS-THOUSAND OAKS NPI is 1912654468. The provider is registered as an organization entity type.
The provider Is Doing Business As Srs-thousand Oaks, Llc.
The provider's business location address is:
375 ROLLING OAKS DR
THOUSAND OAKS, CA
ZIP 91361-023
Phone: (615) 467-0140
Fax: (615) 259-0693
The provider's authorized official is Jerome Seymour Tannenbaum Md .
The authorized official title is Ceo and has the following contact phone number (615) 467-0140.
The enumeration date for this NPI number is 3/4/2022 and was last updated on 12/12/2023.