Organization
TOBIAS MOELLER-BERTRAM, M.D CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER MCDONALD MCDONALD (ADMINSITRATOR)
(949) 783-3600
Entity
Organization
Contact information
Practice address
81812 DR CARREON BLVD, SUITE D, INDIO, CA 92201-0607
(760) 347-7676
Mailing address
3857 BIRCH ST., SUITE 605, NEWPORT BEACH, CA 92660
(949) 786-3600
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
A80383
CA
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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