# TOBIAS MOELLER-BERTRAM, M.D CORP

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

## Provider details

- **NPI number:** 1427488006
- **Authorized official:** MS. HEATHER MCDONALD MCDONALD (ADMINSITRATOR)
- **Authorized official phone:** (949) 783-3600

## Contact information

- **Practice address:** 81812 DR CARREON BLVD, SUITE D, INDIO, CA 92201-0607
- **Practice address phone:** (760) 347-7676
- **Mailing address:** 3857 BIRCH ST., SUITE 605, NEWPORT BEACH, CA 92660
- **Mailing address phone:** (949) 786-3600

## Taxonomy

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

## Other

- **Enumeration date:** 11/19/2013
- **Last updated:** 11/19/2013