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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518983063 NPPES
California Other 1518983063 A82603
California Other A82603 A82603
California MEDICAID 1518983063 A82603

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