ETIE MOGHISSI, MD,INC

MARINA DEL REY, CA
NPI1487723821
Entity TypeOrganization
Authorized ContactETIE S MOGHISSI
President
310-578-6747
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: CA  A38025)
Enumeration Date2006-11-08
Last Update Date2008-02-06
Business Address
ETIE MOGHISSI, MD,INC
4644 LINCOLN BLVD STE 409
MARINA DEL REY, CA 90292-6390
Phone number: 310-578-6747
Mailing Address
ETIE MOGHISSI, MD,INC
4644 LINCOLN BLVD STE 409
MARINA DEL REY, CA 90292-6390
Phone number: 310-578-6747
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