Individual ProviderMatthew BanooniMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address1700 Westwood Blvd, Los Angeles, CA 90024-5608(310) 882-0891PECOS EnrollmentBased on the most recent information from CMS, provider Matthew Banooni does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1942188479Provider TypeIndividualFull NameBanooni, MatthewGenderMaleSole ProprietorNoEnumeration Date8/22/2025Last Updated8/22/2025Contact InformationPractice LocationPractice Address1700 Westwood Blvd, Los Angeles, CA 90024-5608Phone(310) 882-0891FaxUnlisted FaxMailing LocationMailing Address1700 Westwood Blvd, Los Angeles, CA 90024-5608PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer