# TOBIAS MOELLER-BERTRAM,MD CORPORATION

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

## Provider details

- **NPI number:** 1841624582
- **Authorized official:** TOBIAS MOELLER-BERTRAM MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (415) 317-5790

## Contact information

- **Practice address:** 36101 BOB HOPE DR, SUITE B2, RANCHO MIRAGE, CA 92270-2001
- **Practice address phone:** (760) 347-7676
- **Practice address fax:** (760) 321-1094
- **Mailing address:** 3857 BIRCH ST, SUITE 605, NEWPORT BEACH, CA 92660-2616
- **Mailing address phone:** (949) 783-3600
- **Mailing address fax:** (949) 783-3602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A80383 | CA | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD16880 | HI | — |

## Other

- **Enumeration date:** 08/29/2013
- **Last updated:** 08/29/2013