Peyman Banooni Medical Group Inc.
LBN: Peyman Banooni Medical Group Inc.
Peyman Banooni Medical Group Inc. is an health care organization with primary practice located at 6120 Seville Ave Unit B, Huntington Park CA 90255-2911. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty.
Peyman Banooni Medical Group Inc. can be contacted via phone (323) 588-8855, or through Banooni, Peyman via phone (323) 588-8855.
Contact Information
Primary practice address
6120 Seville Ave Unit B
Huntington Park CA 90255-2911
Phone: (323) 588-8855
Fax: (323) 587-5474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A75080 | California |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A75080 | California |
Profile Details
| NPI number | 1093128688 |
|---|---|
| LBN Legal business name | Peyman Banooni Medical Group Inc. |
| DBA Doing business as | |
| Authorized official | Banooni, Peyman Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 11th, 2014 |
| Last updated | Jun 13th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093128688 | NPPES |
| California | MEDICAID | 00A750801 | |
| California | MEDICAID | 1811002777 |
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