Banooni, Marjan
Banooni, Marjan is an individual health care provider with primary practice located at 335 N La Brea Ave , Los Angeles CA 90036-2517. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Banooni, Marjan can be contacted via phone (323) 634-3850.Contact Information
Primary practice address
335 N La Brea Ave
Los Angeles CA 90036-2517
Phone: (323) 634-3850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207QA0000X | A82603 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A82603 | California |
Profile Details
| NPI number | 1518983063 |
|---|---|
| LBN Legal business name | Banooni, Marjan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Dec 9th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518983063 | NPPES |
| California | Other | 1518983063 | A82603 |
| California | Other | A82603 | A82603 |
| California | MEDICAID | 1518983063 | A82603 |
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