# SOUTHERN CALIFORNIA EMERGENCY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Moreno Beach Urgent Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518380765
- **Authorized official:** MRS. JENNIFER BRUNK (CREDENTIALING MANAGER)
- **Authorized official phone:** (909) 596-6349

## Contact information

- **Practice address:** 27640 EUCALYPTUS AVE, SUITE \# 4, MORENO VALLEY, CA 92555-4557
- **Practice address phone:** (909) 596-6349
- **Mailing address:** 1407 FOOTHILL BLVD \# 306, LA VERNE, CA 91750-3451
- **Mailing address phone:** (909) 596-6349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | A73011 | CA | Yes |

## Other

- **Enumeration date:** 01/23/2014
- **Last updated:** 01/23/2014