Marjan Banooni in Los Angeles - Adolescent Medicine
Marjan Banooni - NPI 1518983063
Marjan Banooni is a Adolescent Medicine in Los Angeles, California. Marjan Banooni practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Marjan Banooni is 1518983063. The last update date is 2019-12-09.
Marjan Banooni's current location address is 335 N La Brea Ave, Los Angeles, California. You can contact this provider via phone number 3236343850. The mailing address for Marjan Banooni is 335 N La Brea Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Marjan Banooni |
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Address | 335 N La Brea Ave, Los Angeles, California |
Phone Number | 3236343850 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1518983063 |
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Provider Enumeration Date | 2006-07-15 |
Last Updated Date | 2019-12-09 |
Provider Mailing Address Detail
Address | 335 N La Brea Ave |
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City | Los Angeles |
State | California (CA) |
Post Code | 900362517 |
Phone Number | 3236343850 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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Taxonomy | 207Qa0000X |
Licence No | A82603 |
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1518983063 | CA | A82603 | |
A82603 | CA | STATE LICENSE | |
1518983063 | CA | -- |
Post Comment/ Review Below
What is the Marjan Banooni's unique identification number?
The Marjan Banooni has been assigned the NPI (National Provider Identifier) Number 1518983063 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Marjan Banooni is geographically located?
The Marjan Banooni is physically situated at the following location: 335 N La Brea Ave, Los Angeles, CA, 900362517.
What is the area of specialization for Marjan Banooni, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marjan Banooni is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qa0000X.
On what date did the Marjan Banooni receive the assignment of its 1518983063 from the Centers for Medicare & Medicaid Services?
The Marjan Banooni was issued its 1518983063 by the Centers for Medicare & Medicaid Services on 2006-07-15.
As of what date was the information regarding Marjan Banooni, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marjan Banooni, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-12-09.