Organization
SOUTHERN CALIFORNIA EMERGENCY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN JEFFREY BEARIE M.D. (OWNER)
(909) 596-6349
Entity
Organization
Contact information
Practice address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(909) 881-4335
Mailing address
1407 FOOTHILL BLVD, #14, LA VERNE, CA 91750-3451
(909) 596-6349
(909) 596-6369
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
A73011
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A730110
—
CA
Enumeration date
12/10/2008
Last updated
10/15/2012
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