# PEYMAN BANOONI MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013187863
- **Authorized official:** DR. PEYMAN BANOONI MD (PRESIDENT)
- **Authorized official phone:** (310) 652-9347

## Contact information

- **Practice address:** 150 N ROBERTSON BLVD, SUITE 200, BEVERLY HILLS, CA 90211-2142
- **Practice address phone:** (310) 652-9347
- **Practice address fax:** (310) 652-3489
- **Mailing address:** 150 N ROBERTSON BLVD, SUITE 200, BEVERLY HILLS, CA 90211-2142
- **Mailing address phone:** (310) 652-9347
- **Mailing address fax:** (310) 652-3489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A75080 | CA | Yes |

## Other

- **Enumeration date:** 03/07/2008
- **Last updated:** 03/07/2008