Healthcare Provider Details

I. General information

NPI: 1225332794
Provider Name (Legal Business Name): DR. TODD L SNOW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2010
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19197 BUCKBOARD LN
RIVERSIDE CA
92508-7129
US

IV. Provider business mailing address

19197 BUCKBOARD LN
RIVERSIDE CA
92508-7129
US

V. Phone/Fax

Practice location:
  • Phone: 909-957-2098
  • Fax:
Mailing address:
  • Phone: 909-957-2098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: