Organization
MOELLMER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA MOELLMER D.P.M. (PRESIDENT)
(310) 766-0200
Entity
Organization
Contact information
Practice address
9161 SIERRA AVE STE 115, FONTANA, CA 92335-4779
(909) 854-0055
(909) 854-0056
Mailing address
9161 SIERRA AVE STE 115, FONTANA, CA 92335-4779
(909) 854-0055
(909) 854-0056
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4602
CA
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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