Etie Moghissi, MD, Inc
Etie Moghissi, MD, Inc is a Clinic/Center in Marina del Rey, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4644 Lincoln Blvd Ste 409Marina del Rey, CA 90292-6390
Phone: (310) 578-6747
Fax: (310) 578-6750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence A38025 (CA) |
|---|
Record details
| NPI number | 1487723821 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Etie Moghissi — President · (310) 578-6747 |
| NPI enumerated | November 8, 2006 |
| Last updated in NPPES | February 6, 2008 |
| Mailing address | 4644 Lincoln Blvd Ste 409, Marina Del Rey, CA 90292-6390 |