# INLAND VALLEY SURGICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nissanoff Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356356133
- **Authorized official:** JONATHAN NISSANOFF MD (CEO/OWNER)
- **Authorized official phone:** (858) 451-2280

## Contact information

- **Practice address:** 15525 POMERADO RD., SUITE E6, POWAY, CA 92064
- **Practice address phone:** (858) 451-2280
- **Practice address fax:** (858) 451-2006
- **Mailing address:** PO BOX 502530, SAN DIEGO, CA 92150-2530
- **Mailing address phone:** (858) 451-2280
- **Mailing address fax:** (858) 451-2006

## Taxonomy

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

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 07/24/2008