Organization
SRS-WESTLAKE, LLC
Active
Organization
SRS-WESTLAKE, LLC
Active
Other names
SRS Dialysis-Westlake
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME SEYMOUR TANNENBAUM M.D., PH.D., FACP (CEO)
(615) 500-8021
Entity
Organization
Contact information
Practice address
30770 RUSSELL RANCH RD, WESTLAKE VILLAGE, CA 91362-6314
(615) 467-0140
(615) 259-0693
Mailing address
PO BOX 198813, NASHVILLE, TN 37219-8813
(615) 467-0140
(615) 259-0693
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
03/27/2024
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