Organization
SRS-RIDGECREST
Active
Other names
SRS-RIDGECREST, LLC, Sanderling Dialysis of Ridgecrest
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME S TANNENBAUM MD (CHIEF EXECUTIVE OFFICER)
(615) 467-0140
Entity
Organization
Contact information
Practice address
212 S RICHMOND RD, RIDGECREST, CA 93555-4434
(615) 988-7881
(855) 631-0206
Mailing address
4230 HARDING PIKE STE 205, NASHVILLE, TN 37205-2098
(615) 467-0140
(855) 631-0206
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
12/12/2023
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