# MOELLER-BERTRAM MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lifekind Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699586388
- **Authorized official:** DR. TOBIAS MOELLER-BERTRAM MD (PRESIDENT)
- **Authorized official phone:** (800) 285-3755

## Contact information

- **Practice address:** 36101 BOB HOPE DR STE A1, RANCHO MIRAGE, CA 92270-2002
- **Practice address phone:** (760) 321-1315
- **Mailing address:** 44630 MONTEREY AVE STE 100, PALM DESERT, CA 92260-3326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 01/14/2025
- **Last updated:** 03/02/2025