Southern California Emergency Medicine

LBN: Southern California Emergency Medicine
Southern California Emergency Medicine is an health care organization with primary practice located at 2101 N Waterman Ave , San Bernardino CA 92404-4836. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Southern California Emergency Medicine can be contacted via phone (909) 881-4335, or through Bearie, Brian Jeffrey via phone (909) 596-6349.

Contact Information

Primary practice address
2101 N Waterman Ave San Bernardino CA 92404-4836
Phone: (909) 881-4335
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bearie, Brian Jeffrey Doctor of Medicine (MD)
Phone: (909) 596-6349

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X A73011 California

Profile Details

NPI number 1639314255
LBN Legal business name Southern California Emergency Medicine
DBA Doing business as
Authorized official Bearie, Brian Jeffrey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2008
Last updated Oct 15th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639314255 NPPES
California MEDICAID 00A730110

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