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Organization
SUSAN BIEGEL MD INC
Active
Organization
SUSAN BIEGEL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CHRISTINE BIEGEL M.D (PRESIDENT)
(909) 985-1908
Entity
Organization
Contact information
Practice address
1004 W FOOTHILL BLVD STE 200, UPLAND, CA 91786-3774
(909) 985-1908
(909) 963-1800
Mailing address
1004 W FOOTHILL BLVD STE 200, UPLAND, CA 91786-3774
(909) 985-1908
(909) 963-1800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G66575
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110045232
RAILROAD MEDICARE
CA
01
—
G66575
LICENSE
CA
05
—
GR0100350
—
CA
Enumeration date
11/07/2007
Last updated
06/21/2024
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