Organization
PEYMAN BANOONI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEYMAN BANOONI MD (PRESIDENT)
(310) 652-9347
Entity
Organization
Contact information
Practice address
150 N ROBERTSON BLVD, SUITE 200, BEVERLY HILLS, CA 90211-2142
(310) 652-9347
(310) 652-3489
Mailing address
150 N ROBERTSON BLVD, SUITE 200, BEVERLY HILLS, CA 90211-2142
(310) 652-9347
(310) 652-3489
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A75080
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A750801
—
CA
05
—
00A750802
—
CA
01
—
WA75080A
RENDERING NUMBER
—
Enumeration date
03/07/2008
Last updated
03/07/2008
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