# MAGNOLIA SURGERY CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063887875
- **Authorized official:** TAREK HASSANEIN (PRESIDENT)
- **Authorized official phone:** (619) 990-1698

## Contact information

- **Practice address:** 463 N MAGNOLIA AVE, EL CAJON, CA 92020-3606
- **Practice address phone:** (619) 990-1698
- **Mailing address:** PO BOX 181770, CORONADO, CA 92178-1770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2015
- **Last updated:** 09/03/2026