ETIE MOGHISSI NPI 1003007576

Specialist

ETIE MOGHISSI MD

Etie Moghissi is a specialist in Marina Del Rey, CA. Etie Moghissi NPI is 1003007576. The provider's taxonomy code is 174400000X - Specialist. 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.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003007576
Provider Name: ETIE MOGHISSI MD
Gender: Female
NPI Entity Type: Individual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: Yes
Is Organization Subpart?: N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 08-08-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 02-05-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Registered in PECOS?: YES Additional informationCallout TooltipWhat is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.


Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

Map Location


ETIE MOGHISSI MD address is 4644 LINCOLN BLVD SUITE 409 MARINA DEL REY, CA 90292 Get Directions