# TOBIAS MOELLER-BERTRAM, MD CORPORATION DESERT CLINIC PAIN INSTITUTE

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

## Provider details

- **NPI number:** 1265813125
- **Authorized official:** MR. CHRIS MCDONALD (OWNER)
- **Authorized official phone:** (949) 783-3600

## Contact information

- **Practice address:** 36101 BOB HOPE DR STE B-2, RANCHO MIRAGE, CA 92270
- **Practice address phone:** (760) 321-1315
- **Practice address fax:** (760) 321-1094
- **Mailing address:** 3857 BIRCH ST 605, NEWPORT BEACH, CA 92660
- **Mailing address phone:** (949) 783-3600
- **Mailing address fax:** (949) 783-3602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | A80383 | CA | Yes |

## Other

- **Enumeration date:** 06/16/2015
- **Last updated:** 06/16/2015