ETIE MOGHISSI, MD,INC is a clinic center in Marina Del Rey, CA. The provider is 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). ETIE MOGHISSI, MD,INC NPI is 1487723821. The provider is registered as an organization entity type.
The provider's business location address is:
4644 LINCOLN BLVD STE 409
MARINA DEL REY, CA
ZIP 90292-390
Phone: (310) 578-6747
Fax: (310) 578-6750
The provider's authorized official is Etie S Moghissi .
The authorized official title is President and has the following contact phone number (310) 578-6747.
The enumeration date for this NPI number is 11/8/2006 and was last updated on 2/6/2008.