Healthcare Provider Details

I. General information

NPI: 1194657304
Provider Name (Legal Business Name): SNWBYTE HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
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: 909-516-9633
  • Fax:
Mailing address:
  • Phone: 909-516-9633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. TODD SNOW
Title or Position: CEO
Credential:
Phone: 909-516-9633