TOBIAS MOELLER-BERTRAM M.D. CORP NPI 1356760227

NPI Information

  • NPI: 1356760227
  • Provider Name: TOBIAS MOELLER-BERTRAM, M.D. CORP
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 3857 BIRCH ST
    SUITE 605
    NEWPORT BEACH, CA
    ZIP 92660
  • Phone: (949) 783-3600

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NPI Details

TOBIAS MOELLER-BERTRAM, M.D. CORP is a specialist in Newport Beach, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TOBIAS MOELLER-BERTRAM, M.D. CORP NPI is 1356760227. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3857 BIRCH ST
SUITE 605
NEWPORT BEACH, CA
ZIP 92660-616
Phone: (949) 783-3600
Fax: (949) 783-3602

The provider's authorized official is Heather Mcdonald .
The authorized official title is Administrator and has the following contact phone number (949) 783-3600.

The enumeration date for this NPI number is 4/8/2014 and was last updated on 4/8/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistA80383CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16888120001MEDICARE NSCCALIFORNIA
21922440684MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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