# MOELLMER, INC.

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

## Provider details

- **NPI number:** 1972883536
- **Authorized official:** REBECCA MOELLMER DPM (PRESIDENT)
- **Authorized official phone:** (310) 766-0200

## Contact information

- **Practice address:** 1762 N WATERMAN AVE, SAN BERNARDINO, CA 92404-5130
- **Practice address phone:** (909) 886-3668
- **Practice address fax:** (909) 886-5542
- **Mailing address:** 1762 N WATERMAN AVE, SAN BERNARDINO, CA 92404-5130
- **Mailing address phone:** (909) 886-3668
- **Mailing address fax:** (909) 886-5542

## Taxonomy

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

## Other

- **Enumeration date:** 08/26/2011
- **Last updated:** 08/26/2011