| Peyman Banooni Medical Group, Inc | |
|
1030 Gardena Blvd Gardena CA 90247-4956 | |
| (213) 413-2222 | |
| Not Available |
| Full Name | Peyman Banooni Medical Group, Inc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 1030 Gardena Blvd, Gardena, California |
| Authorized Official Name and Position | Peyman Banooni (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3106254643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peyman Banooni Medical Group, Inc 269 S Beverly Dr Suite 468 Beverly Hills CA 90212-3851 Ph: () - | Peyman Banooni Medical Group, Inc 1030 Gardena Blvd Gardena CA 90247-4956 Ph: (213) 413-2222 |
| NPI Number | 1811497035 |
|---|---|
| Provider Enumeration Date | 02/14/2018 |
| Last Update Date | 02/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811497035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | A75080 (California) | Primary |
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