OrganizationActive
Etie Moghissi, Md,inc
NPI 1487723821 · Clinic/Center · Marina Del Rey, CA
Etie Moghissi, Md,inc is a Clinic/Center organization in Marina Del Rey, CA (NPI 1487723821).
Provider details
- NPI number
- 1487723821
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Etie Moghissi, President(310) 578-6747
- License
- A38025 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4644 Lincoln Blvd Ste 409
Marina Del Rey, CA 90292-6390
Phone: (310) 578-6747
Fax: (310) 578-6750
Street-level locationGet directions
Mailing address
4644 Lincoln Blvd Ste 409
Marina Del Rey, CA 90292-6390
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2008-02-06
Frequently asked questions
- What is Etie Moghissi, Md,inc's NPI number?
- Etie Moghissi, Md,inc's National Provider Identifier (NPI) is 1487723821, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Etie Moghissi, Md,inc?
- Etie Moghissi, Md,inc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Etie Moghissi, Md,inc located?
- Etie Moghissi, Md,inc's practice location on file with NPPES is 4644 Lincoln Blvd Ste 409, Marina Del Rey, CA 90292-6390.
- What is Etie Moghissi, Md,inc's phone number?
- The practice phone number listed in the NPPES registry for Etie Moghissi, Md,inc is (310) 578-6747.
- Who is the authorized official for Etie Moghissi, Md,inc?
- The authorized official listed on Etie Moghissi, Md,inc's NPPES record is Etie Moghissi, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Etie Moghissi, Md,inc's NPI active?
- Yes — Etie Moghissi, Md,inc's NPI (1487723821) is active in the NPPES registry as of the last update on 2008-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.