# CASA COLINA SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1518972322
- **Authorized official:** MR. JEFFREY SNODGRASS (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 255 E BONITA AVE, BUILDING 3 B, POMONA, CA 91767-1923
- **Practice address phone:** (909) 593-3550
- **Practice address fax:** (909) 593-5223
- **Mailing address:** 255 E BONITA AVE, BUILDING 3 B, POMONA, CA 91767-1923
- **Mailing address phone:** (909) 593-3550
- **Mailing address fax:** (909) 593-5223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 550000065 | CA | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 06/22/2022