Organization
SRS-THOUSAND OAKS
Active
Other names
SRS-Thousand Oaks, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME SEYMOUR TANNENBAUM MD M.D, PH.D., FACP (CEO)
(615) 467-0140
Entity
Organization
Contact information
Practice address
375 ROLLING OAKS DR, THOUSAND OAKS, CA 91361-1023
(615) 467-0140
(615) 259-0693
Mailing address
4230 HARDING PIKE STE 205, NASHVILLE, TN 37205-2098
(615) 467-0140
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
12/12/2023
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