Etie Moghissi, Md,Inc in Marina Del Rey - Clinic/center
Etie Moghissi, Md,Inc - NPI 1487723821
Etie Moghissi, Md,Inc is a Clinic/center in Marina Del Rey, California. Etie Moghissi, Md,Inc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Etie Moghissi, Md,Inc is 1487723821. The last update date is 2008-02-06.
Etie Moghissi, Md,Inc's current location address is 4644 Lincoln Blvd Ste 409, Marina Del Rey, California. You can contact this provider via phone number 3105786747 and fax number 3105786750. The mailing address for Etie Moghissi, Md,Inc is 4644 Lincoln Blvd Ste 409, Marina Del Rey, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Etie Moghissi, Md,Inc |
|---|---|
| Address | 4644 Lincoln Blvd Ste 409, Marina Del Rey, California |
| Phone Number | 3105786747 |
| Fax Number | 3105786750 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Moghissi S Etie |
| Credentials | MD |
| Telephone Number | 3105786747 |
NPI Number Detail
| NPI Number | 1487723821 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2008-02-06 |
Provider Mailing Address Detail
| Address | 4644 Lincoln Blvd Ste 409 |
|---|---|
| City | Marina Del Rey |
| State | California (CA) |
| Post Code | 902926390 |
| Phone Number | 3105786747 |
| Fax Number | 3105786750 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | A38025 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LICENSE | CA | A38025 |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Etie Moghissi, Md,Inc by the Centers for Medicare & Medicaid Services?
The Etie Moghissi, Md,Inc has been issued the NPI (National Provider Identifier) 1487723821, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Etie Moghissi, Md,Inc's facilities are situated?
The facilities of Etie Moghissi, Md,Inc are physically located at the following address: 4644 Lincoln Blvd Ste 409, Marina Del Rey, CA, 902926390.
What is Etie Moghissi, Md,Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Etie Moghissi, Md,Inc's area of specialization is Clinic/center, and the corresponding taxonomy code that categorizes this field of practice is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1487723821 to Etie Moghissi, Md,Inc?
The Centers for Medicare & Medicaid Services assigned the 1487723821 to Etie Moghissi, Md,Inc on 2006-11-08.
As of what date were the details related to Etie Moghissi, Md,Inc most recently updated or revised?
The information pertaining to Etie Moghissi, Md,Inc, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-06.
NPI Number: 1528061710
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