Organization · Type 2 NPI

Colton Ca Multi Asc LP

Ambulatory Surgical Clinic/Center · San Bernardino, CA

NPI number 1629313739 Active

Practice location

1003 E Brier Drive, Suite 170
San Bernardino, CA 92408-2862

Call (909) 370-2190 Map

Fax (909) 370-2266

Mailing address

1A Burton Hills Blvd., Licensure And Cert Dept
Nashville, TN 37215-6187

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

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NPI record

NPI: 1629313739
Entity type: Organization (Type 2)
Issued: Nov 29, 2012
Last updated: Jan 20, 2023
Status: Active

Other names

<unavail>
Premier Outpatient Surgery Center · doing business as
Premier Outpatient Surgery Center · doing business as

Authorized official

Mr. Jeffery Snodgrass
President
(615) 665-1283

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629313739

Colton Ca Multi Asc LP's National Provider Identifier is 1629313739, issued on Nov 29, 2012. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in San Bernardino, CA. The record was last updated on Jan 20, 2023.