| Etie Moghissi, Md,inc | |
|
4644 Lincoln Blvd Ste 409 Marina Del Rey CA 90292-6390 | |
| (310) 578-6747 | |
| (310) 578-6750 |
| Full Name | Etie Moghissi, Md,inc |
|---|---|
| Speciality | Clinic/center |
| Location | 4644 Lincoln Blvd Ste 409, Marina Del Rey, California |
| Authorized Official Name and Position | Etie S Moghissi (PRESIDENT) |
| Authorized Official Contact | 3105786747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etie Moghissi, Md,inc 4644 Lincoln Blvd Ste 409 Marina Del Rey CA 90292-6390 Ph: (310) 578-6747 | Etie Moghissi, Md,inc 4644 Lincoln Blvd Ste 409 Marina Del Rey CA 90292-6390 Ph: (310) 578-6747 |
| NPI Number | 1487723821 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 02/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487723821 | NPI | - | NPPES |
| LICENSE | Other | CA | A38025 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A38025 (California) | Primary |
Jonathan D. Rand, M.d. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4644 Lincoln Blvd, 113, Marina Del Rey, CA 90292 Phone: 310-821-9800 Fax: 310-306-0263 | |
Wound Pros Doctors Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4640 Admiralty Way Ste 500, Marina Del Rey, CA 90292 Phone: 818-836-2475 Fax: 323-433-9177 | |
Kenneth Landis M D A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4644 Lincoln Blvd, Suite 500, Marina Del Rey, CA 90292 Phone: 310-822-2255 Fax: 310-822-0044 | |
Access Medical Group Of Mdr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4644 Lincoln Blvd, #111, Marina Del Rey, CA 90292 Phone: 310-306-6966 Fax: 310-306-0667 | |
Carlo Medina Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-893-0827 | |
William G Lang Md A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4644 Lincoln Blvd., Suite 111, Marina Del Rey, CA 90292 Phone: 310-536-8200 Fax: 310-536-8240 |