Provider Type Icon

GREGORY K. SUELZLE M.D. A MEDICAL CORPORATION NPI 1386890044


NPI Information

NPI: 1386890044
Provider Name: GREGORY K. SUELZLE, M.D., A MEDICAL CORPORATION

Doing Business As: UPLAND GROVE MEDICAL GROUP

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 05D1092174

Address:
1330 SAN BERNARDINO RD
SUITE B
UPLAND, CA
ZIP 91786
Phone: (909) 981-0608
Get Directions

GREGORY K. SUELZLE, M.D., A MEDICAL CORPORATION is an interventional pain medicine pain medicine in Upland, CA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. GREGORY K. SUELZLE, M.D., A MEDICAL CORPORATION NPI is 1386890044. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Upland Grove Medical Group.

The provider's business location address is:

1330 SAN BERNARDINO RD
SUITE B
UPLAND, CA
ZIP 91786-928
Phone: (909) 981-0608
Fax: (866) 695-1267

The provider's authorized official is Gregory K. Suelzle .
The authorized official title is Owner and has the following contact phone number (909) 981-0608.

The CLIA number assigned to this NPI record is 05D1092174 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2008 and was last updated on 4/21/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineG78385CALIFORNIANo
2208VP0014XPain MedicineInterventional Pain MedicineG77184CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.