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PEYMAN BANOONI MEDICAL GROUP INC. NPI 1093128688


NPI Information

NPI: 1093128688
Provider Name: PEYMAN BANOONI MEDICAL GROUP INC.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
6120 SEVILLE AVE
UNIT B
HUNTINGTON PARK, CA
ZIP 90255
Phone: (323) 588-8855
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PEYMAN BANOONI MEDICAL GROUP INC. is an obstetrics gynecology in Huntington Park, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PEYMAN BANOONI MEDICAL GROUP INC. NPI is 1093128688. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6120 SEVILLE AVE
UNIT B
HUNTINGTON PARK, CA
ZIP 90255-911
Phone: (323) 588-8855
Fax: (323) 587-5474

The provider's authorized official is Peyman Banooni .
The authorized official title is Medical Director and has the following contact phone number (323) 588-8855.

The enumeration date for this NPI number is 6/11/2014 and was last updated on 6/13/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeA75080CALIFORNIANo
2207V00000XObstetrics & GynecologyA75080CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A750801MEDICAIDCALIFORNIA
21811002777MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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