Susan Biegel Md Inc | |
1004 W Foothill Blvd Ste 200 Upland CA 91786-3774 | |
(909) 985-1908 | |
(909) 963-1800 |
Full Name | Susan Biegel Md Inc |
---|---|
Speciality | Internal Medicine |
Location | 1004 W Foothill Blvd Ste 200, Upland, California |
Authorized Official Name and Position | Susan Christine Biegel (PRESIDENT) |
Authorized Official Contact | 9099851908 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Susan Biegel Md Inc 1004 W Foothill Blvd Ste 200 Upland CA 91786-3774 Ph: (909) 985-1908 | Susan Biegel Md Inc 1004 W Foothill Blvd Ste 200 Upland CA 91786-3774 Ph: (909) 985-1908 |
NPI Number | 1467632414 |
---|---|
Provider Enumeration Date | 11/07/2007 |
Last Update Date | 06/21/2024 |
Medicare PECOS PAC ID | 9638321060 |
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Medicare Enrollment ID | O20121212000229 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467632414 | NPI | - | NPPES |
110045232 | Other | CA | RAILROAD MEDICARE |
G66575 | Other | CA | LICENSE |
GR0100350 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G66575 (California) | Primary |
Provider Name | Susan Christine Biegel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710956412 PECOS PAC ID: 2163323643 Enrollment ID: I20040116000989 |
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