| 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 |
| Certification Date | 06/21/2024 |
| Medicare PECOS PAC ID | 9638321060 |
|---|---|
| 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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