Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Peyman Banooni Medical Group, Inc

Organization Family Medicine Physician · NPI 1811497035

Peyman Banooni Medical Group, Inc provides Family Medicine Physician services in Gardena, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1030 Gardena Blvd
Gardena, CA 90247-4956
Phone: (213) 413-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence A75080 (CA)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1811497035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peyman Banooni — Medical Director · (310) 625-4643
NPI enumeratedFebruary 14, 2018
Last updated in NPPESFebruary 14, 2018
Mailing address269 S Beverly Dr, Suite 468, Beverly Hills, CA 90212-3851

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