Individual
DR. REBECCA ANNE MOELLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
795 E. SECOND STREET, SUITE 7, POMONA, CA 91766-2007
(909) 706-3877
(909) 706-3942
Mailing address
795 E. SECOND STREET, SUITE 7, POMONA, CA 91766-2007
(909) 706-3877
(909) 706-3942
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4602
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4602
CA DPM LIC
CA
01
—
ER215W
MEDICARE PTAN NO CA
CA
01
—
ER215X
MEDICARE PTAN SO CA
CA
Enumeration date
06/08/2006
Last updated
04/11/2013
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