Organization
TOBIAS MOELLER-BERTRAM, MD CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOBIAS MOELLER-BERTRAM M.D. (OWNER)
(949) 783-3600
Entity
Organization
Contact information
Practice address
36101 BOB HOPE DR, STE B-2, RANCHO MIRAGE, CA 92270-2001
(760) 321-1315
(760) 321-1094
Mailing address
3857 BIRCH ST, #605, NEWPORT BEACH, CA 92660-2616
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26426
CA
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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