# POWAY CA MULTI SPECIALTY ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Poway Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598949281
- **Authorized official:** MR. JEFFREY SNODGRASS (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 15611 POMERADO RD STE 220, POWAY, CA 92064-2437
- **Practice address phone:** (858) 521-0031
- **Practice address fax:** (858) 521-0921
- **Mailing address:** 1A BURTON HILLS BLVD., LICENSURE AND CERT DEPT, NASHVILLE, TN 37215-6187
- **Mailing address phone:** (615) 263-4011

## Taxonomy

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

## Other

- **Enumeration date:** 12/18/2007
- **Last updated:** 01/20/2023