Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peyman Banooni Medical Group, Inc

Organization Family Medicine Physician · NPI 1811497035

Peyman Banooni Medical Group, Inc is a Family Medicine Physician 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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