Organization
TOBIAS MOELLER-BERTRAM,MD CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOBIAS MOELLER-BERTRAM MD (MEDICAL DIRECTOR)
(415) 317-5790
Entity
Organization
Contact information
Practice address
36101 BOB HOPE DR, SUITE B2, RANCHO MIRAGE, CA 92270-2001
(760) 347-7676
(760) 321-1094
Mailing address
3857 BIRCH ST, SUITE 605, NEWPORT BEACH, CA 92660-2616
(949) 783-3600
(949) 783-3602
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A80383
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD16880
HI
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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