# MOELLMER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043524440
- **Authorized official:** DR. REBECCA MOELLMER D.P.M. (PRESIDENT)
- **Authorized official phone:** (310) 766-0200

## Contact information

- **Practice address:** 9161 SIERRA AVE STE 115, FONTANA, CA 92335-4779
- **Practice address phone:** (909) 854-0055
- **Practice address fax:** (909) 854-0056
- **Mailing address:** 9161 SIERRA AVE STE 115, FONTANA, CA 92335-4779
- **Mailing address phone:** (909) 854-0055
- **Mailing address fax:** (909) 854-0056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4602 | CA | Yes |

## Other

- **Enumeration date:** 07/28/2010
- **Last updated:** 07/28/2010