ETIE MOGHISSI, MD,INC
NPI 1487723821
Clinic/Center in Marina Del Rey, CA

Q: What is Etie Moghissi, Md,inc's NPI number?

The NPI number for Etie Moghissi, Md,inc is 1487723821. It was assigned to this organization in the NPPES registry on November 8, 2006.

Q: What is Etie Moghissi, Md,inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since November 08, 2006

4644 LINCOLN BLVD STE 409, MARINA DEL REY, CA 90292(310) 578-6747(310) 578-6750 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Etie Moghissi, Md,inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETIE MOGHISSI, MD,INC (NPI 1487723821) is a healthcare organization registered as a clinic/center in Marina Del Rey, California and active in the NPI registry since November 2006. The organization lists Etie S Moghissi, President, as its authorized official.

NPPES Registry Identity

NPI1487723821

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameETIE MOGHISSI, MD,INC

Location Address4644 LINCOLN BLVD STE 409Marina Del Rey, CA 90292-6390

Mailing Address4644 Lincoln Blvd Ste 409Marina Del Rey, CA 90292-6390 · (310) 578-6747 · Fax (310) 578-6750

Phone(310) 578-6747

Fax(310) 578-6750

Organization SubpartNo

Authorized OfficialEtie S MoghissiPresident · (310) 578-6747

Enumeration DateNovember 8, 2006

Last NPPES UpdateFebruary 6, 2008

✔ NPI 1487723821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in CA · 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., radiology, poor, and public health).

4644 LINCOLN BLVD STE 409, Marina Del Rey, CA 90292

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Other Identifiers 1

OtherLICENSECA · A38025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Etie Moghissi, Md,inc's NPI number?

The NPI number for Etie Moghissi, Md,inc is 1487723821. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Etie Moghissi, Md,inc located?

Etie Moghissi, Md,inc is located at 4644 Lincoln Blvd Ste 409, Marina Del Rey, CA 90292. The listed phone number is (310) 578-6747.

What is Etie Moghissi, Md,inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Etie Moghissi, Md,inc was last updated on February 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.