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Organization
PEYMAN BANOONI MEDICAL GROUP INC
Active
Organization
PEYMAN BANOONI MEDICAL GROUP INC
Active
Other names
7th Street Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
PEYMAN BANOONI M.D. (OWNER)
(310) 625-4643
Entity
Organization
Contact information
Practice address
1919 W 7TH ST, UNIT 2A, LOS ANGELES, CA 90057-4103
(310) 625-4643
(310) 652-3489
Mailing address
1919 W 7TH ST, UNIT 2A, LOS ANGELES, CA 90057-4103
(310) 625-4643
(310) 652-3489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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