Organization
MOELLMER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MOELLMER DPM (PRESIDENT)
(310) 766-0200
Entity
Organization
Contact information
Practice address
1212 N PARK AVE, POMONA, CA 91768-3029
(909) 623-4484
Mailing address
1212 N PARK AVE, POMONA, CA 91768-3029
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4602
CA
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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